Provider Demographics
NPI:1306823984
Name:HONEYBROOK PHARMACY LP
Entity Type:Organization
Organization Name:HONEYBROOK PHARMACY LP
Other - Org Name:HONEY BROOK PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCALIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-273-7300
Mailing Address - Street 1:35 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-8646
Mailing Address - Country:US
Mailing Address - Phone:610-273-7300
Mailing Address - Fax:610-273-3499
Practice Address - Street 1:35 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-8646
Practice Address - Country:US
Practice Address - Phone:610-273-7300
Practice Address - Fax:610-273-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415604L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017742300001Medicaid
PA1315650001Medicare ID - Type UnspecifiedMEDICARE