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Contact Information

BOOTHWYN APOTHECARY, LLC
2341 CHICHESTER AVE
UPPER CHICHESTER, PA19061-3737
 Phone: 610-485-1130
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BOOTHWYN APOTHECARY, LLC

NPI # 1134720352
LBN Legal business name BOOTHWYN APOTHECARY, LLC
Authorized official NOEL BOEHM - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2020
Last updated 11/04/2020 - About 6 years ago
Identifiers
PA Medicaid 103281552-0001
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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