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Contact Information

PAOLI APOTHECARY LLC
255 W. LANCASTER AVE
MOB 1 STE. 107
PAOLI, PA19301
 Phone: 610-251-2295
 Fax: 610-251-2294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PAOLI APOTHECARY LLC

NPI # 1497810782
LBN Legal business name PAOLI APOTHECARY LLC
Authorized official PAUL BURRICHTER - (PHARMACY MANAGER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 08/16/2018 - About 8 years ago
Identifiers
PA License # PP481424
PA Medicaid 1024684120001
Other 2124695 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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