Provider Demographics
NPI:1457660847
Name:REPETE INC
Entity Type:Organization
Organization Name:REPETE INC
Other - Org Name:HELLERTOWN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-838-3555
Mailing Address - Street 1:11 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1742
Mailing Address - Country:US
Mailing Address - Phone:610-838-3555
Mailing Address - Fax:610-838-3550
Practice Address - Street 1:11 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1742
Practice Address - Country:US
Practice Address - Phone:610-838-3555
Practice Address - Fax:610-838-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP4820763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3994692OtherNCPDP PROVIDER IDENTIFICATION NUMBER