Upper Darby Pharmacy

LBN: Shirley Court Pharmacy Inc
Upper Darby Pharmacy is an health care organization with primary practice located at 119 Long Ln , Upper Darby PA 19082-3112. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shirley Court Pharmacy Inc can be contacted via phone (610) 352-3010, or through Patton, Michael via phone (610) 352-3010.

Contact Information

Primary practice address
119 Long Ln Upper Darby PA 19082-3112
Fax: (610) 352-4832
Website:
Authorized official contact:
Name: Patton, Michael RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP412283L Pennsylvania

Profile Details

NPI number 1700897345
LBN Legal business name Shirley Court Pharmacy Inc
DBA Doing business as Upper Darby Pharmacy
Authorized official Patton, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Sep 20th, 2011 - about 13 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 1700897345 NPPES
Other 3909338 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 001574120002 NCPDP PROVIDER IDENTIFICATION NUMBER

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