Provider Demographics
NPI:1306843073
Name:D&H PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:D&H PHARMACY SERVICES INC
Other - Org Name:FISHERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:215-546-3479
Mailing Address - Street 1:PO BOX 7908
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-7908
Mailing Address - Country:US
Mailing Address - Phone:215-468-1202
Mailing Address - Fax:215-551-4068
Practice Address - Street 1:1300 S 18TH ST
Practice Address - Street 2:REAR/PHARMACY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4601
Practice Address - Country:US
Practice Address - Phone:215-468-1202
Practice Address - Fax:215-551-4068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000007545332B00000X
PA8000001287332B00000X
PAPP413247L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA8000001287OtherDME WHOLESALER/DISTRIB
PA3941285OtherNCPDP/NABP
PAPP413247LOtherPHARMACY LICENSE
PA0017717580001Medicaid
PA0006297810001Medicaid
PA300 000 7545OtherDME DISTRIBUTOR(PRESCRIP)
PA300 000 7545OtherDME DISTRIBUTOR(PRESCRIP)
PA0006297810001Medicaid