Organization
BARDA INC
Active
Organization
BARDA INC
Active
Other names
WESTBROOK PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY GREEN RPH (PRES)
(610) 626-2949
Entity
Organization
Contact information
Practice address
244 W BALTIMORE AVE, CLIFTON HEIGHTS, PA 19018-2101
(610) 626-2949
(610) 626-2950
Mailing address
244 W BALTIMORE AVE, CLIFTON HEIGHTS, PA 19018-2101
(610) 626-2949
(610) 626-2950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412859L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775880
—
PA
01
—
2083847
PK
—
Enumeration date
07/26/2005
Last updated
03/13/2017
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