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
Phone: (610) 352-3010
Fax: (610) 352-4832
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700897345 | NPPES |
Other | 3909338 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
MEDICAID | 001574120002 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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