Provider Demographics
NPI:1275800963
Name:RCL PHARMACY SERVICES, INC.
Entity Type:Organization
Organization Name:RCL PHARMACY SERVICES, INC.
Other - Org Name:TEPPER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:LEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-816-8806
Mailing Address - Street 1:333 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1929
Mailing Address - Country:US
Mailing Address - Phone:610-642-5568
Mailing Address - Fax:610-649-0390
Practice Address - Street 1:333 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1929
Practice Address - Country:US
Practice Address - Phone:610-642-5568
Practice Address - Fax:610-649-0390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0232710001Medicare NSC