Provider Demographics
NPI:1437160009
Name:CONTRACT PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:CONTRACT PHARMACY SERVICES INC
Other - Org Name:CPS ABRAMSON CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-478-8900
Mailing Address - Street 1:125 TITUS AVE
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2424
Mailing Address - Country:US
Mailing Address - Phone:800-333-5012
Mailing Address - Fax:800-631-1716
Practice Address - Street 1:1425 HORSHAM RD
Practice Address - Street 2:2ND FL
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1320
Practice Address - Country:US
Practice Address - Phone:215-371-1380
Practice Address - Fax:215-371-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336I0012X
PAPP4816173336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100750649002Medicaid
2087993OtherPK