Organization
MP CAPITAL PARTNERS LLC
Active
Other names
Lansdowne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MITESH PATEL (PRINCIPAL)
(484) 461-7501
Entity
Organization
Contact information
Practice address
927 E BALTIMORE AVE # J-K, LANSDOWNE, PA 19050-2749
(484) 461-7501
(484) 461-7503
Mailing address
927 E BALTIMORE AVE STE J-K, LANSDOWNE, PA 19050-2749
(484) 461-7501
(484) 461-7503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481901
PA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022541020001
—
PA
01
—
3991684
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/24/2008
Last updated
07/31/2012
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