Organization
PREMIER PHARMACY NETWORK III LLC
Active
Other names
Max-well Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAWSON (PRESIDENT)
(610) 485-7750
Entity
Organization
Contact information
Practice address
375 W STREET RD, WARMINSTER, PA 18974-3218
(215) 956-9280
(215) 956-2320
Mailing address
PO BOX 428, MARCUS HOOK, PA 19061-0428
(610) 485-7750
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164374
PK
—
Enumeration date
06/15/2016
Last updated
03/24/2017
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