Shadeland Pharmacy

LBN: Shadeland Pharmacy Llc
Shadeland Pharmacy is an health care organization with primary practice located at 403 Shadeland Ave , Drexel Hill PA 19026-1437. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shadeland Pharmacy Llc can be contacted via phone (610) 622-1630, or through Patel, Mahen via phone (267) 207-1114.

Contact Information

Primary practice address
403 Shadeland Ave Drexel Hill PA 19026-1437
Phone: (610) 622-1630
Fax: (610) 622-1647
Website:
Map and Directions
Authorized official contact:
Name: Patel, Mahen
Phone: (267) 207-1114

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP482232 Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093097206
LBN Legal business name Shadeland Pharmacy Llc
DBA Doing business as Shadeland Pharmacy
Authorized official Patel, Mahen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2011
Last updated Dec 3rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093097206 NPPES
Other 2143594 PK

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