Organization
ATLANTIC PHARMACY
Active
Other names
Atlantic Pharmaceutical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
YU SONG PHARM D (PRESIDENT)
(215) 355-6720
Entity
Organization
Contact information
Practice address
789 BUSTLETON PIKE, RICHBORO, PA 18954-1353
(215) 355-6720
(215) 310-5868
Mailing address
789 BUSTLETON PIKE, RICHBORO, PA 18954-1353
(215) 355-6720
(215) 310-5868
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
6000007523
PA
333600000X
Pharmacy
Primary
PP481968
PA
3336C0002X
Clinic Pharmacy
PP481968
PA
3336C0003X
Community/Retail Pharmacy
PP481968
PA
3336L0003X
Long Term Care Pharmacy
PP481968
PA
3336S0011X
Specialty Pharmacy
PP481968
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024157220002
—
PA
Enumeration date
09/03/2008
Last updated
06/15/2012
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