Traditional Apothecary
LBN: Traditional Apothecary Llc
Traditional Apothecary is an health care organization with primary practice located at 424 N Springfield Rd , Clifton Heights PA 19018-1304. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Traditional Apothecary Llc can be contacted via phone (484) 461-4555, or through Canzanese, Vincent via phone (484) 461-4555.
Contact Information
Primary practice address
424 N Springfield Rd
Clifton Heights PA 19018-1304
Phone: (484) 461-4555
Fax: (484) 461-4556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP481812 | Pennsylvania |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1649443938 |
|---|---|
| LBN Legal business name | Traditional Apothecary Llc |
| DBA Doing business as | Traditional Apothecary |
| Authorized official | Canzanese, Vincent |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Jun 30th, 2010 - about 14 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 | 1649443938 | NPPES |
| Other | 3990187 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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