Organization · NPI-2
Crest Center Pharmacy
Pharmacy, Community/Retail Pharmacy · Willow Grove, PA
NPI number1851392179
StatusActive
Last updated in NPPESNov 13, 2007
Details
- NPI
- 1851392179
- Entity type
- Organization (NPI-2)
- Legal business name
- Crest Center Pharmacy
- Organization subpart
- No
- Enumeration date
- Aug 9, 2005
- Last updated
- Nov 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP481086 | PA | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
240 Fitzwatertown RdWillow Grove, PA 19090-2332
Phone 215-658-1216 · Fax 610-658-1217
Mailing address
240 Fitzwatertown RdWillow Grove, PA 19090-2332
Authorized official
David Mittal
Owner
2159156075
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