Organization
BLANDON PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADNAN SHUBBAR R.PH. (MANAGER)
(610) 504-1316
Entity
Organization
Contact information
Practice address
104 ANNA AVE, BLANDON, PA 19510-9310
(610) 944-8899
(610) 944-0888
Mailing address
104 ANNA AVE, BLANDON, PA 19510-9310
(610) 944-8899
(610) 944-0888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481887
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022690430001
—
PA
Enumeration date
02/10/2009
Last updated
06/11/2010
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