Provider Demographics
NPI:1467452656
Name:PHILIP E PEPPER INC
Entity Type:Organization
Organization Name:PHILIP E PEPPER INC
Other - Org Name:PEPPER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-626-4941
Mailing Address - Street 1:197 E PLUMSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1221
Mailing Address - Country:US
Mailing Address - Phone:610-626-4941
Mailing Address - Fax:610-626-4905
Practice Address - Street 1:197 E PLUMSTEAD AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1221
Practice Address - Country:US
Practice Address - Phone:610-626-4941
Practice Address - Fax:610-626-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP025553L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0261900001Medicare NSC