Provider Demographics
NPI:1114354735
Name:MCNEILL FAMILY PHARMACY INC
Entity Type:Organization
Organization Name:MCNEILL FAMILY PHARMACY INC
Other - Org Name:ASTON PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-564-3082
Mailing Address - Street 1:10 SCHEIVERT AVE
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2762
Mailing Address - Country:US
Mailing Address - Phone:610-494-1445
Mailing Address - Fax:610-494-7697
Practice Address - Street 1:10 SCHEIVERT AVE
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-2762
Practice Address - Country:US
Practice Address - Phone:610-494-1445
Practice Address - Fax:610-494-7697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP410090L3336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028898900001Medicaid
2142263OtherPK
2142263OtherPK