Main Street Pharmacy, LLC
NPI #1710054051 in Glen Mills, Pennsylvania
Provider Information
- NPI Number
- 1710054051
- Entity Type
- Organization
- Organization Name
- Main Street Pharmacy, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 100 MARIS GROVE WAY
- City
- Glen Mills
- State
- Pennsylvania
- ZIP Code
- 19342
- Phone
- (610) 387-4540
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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