Organization
ALLENTOWN STATE HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SMITH (CEO)
(610) 740-3401
Entity
Organization
Contact information
Practice address
1600 HANOVER AVE, ALLENTOWN, PA 18109-2408
(610) 740-3495
Mailing address
1600 HANOVER AVE, ALLENTOWN, PA 18109-2408
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP417001L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3934420
NCPDP PHARMACY NUMBER
PA
Enumeration date
05/07/2007
Last updated
06/16/2008
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