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Organization

CLEMENS MARKET INC

Active
Other names
CLEMENS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD SHAPIRO (DIR OF PHARMACY)
(215) 361-9000
Entity
Organization

Contact information

Practice address
616 E MAIN ST, HILLCREST SHOPPING CENTER, LANSDALE, PA 19446-2964
(215) 855-0734
(215) 855-8350
Mailing address
616 E MAIN ST, HILLCREST SHOPPING CENTER, LANSDALE, PA 19446-2964

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481110
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007768230005
PA
01
3980085
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/22/2006
Last updated
08/22/2020
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