Provider Demographics
NPI:1467765230
Name:OXFORD VALLEY PHARMACY INC
Entity Type:Organization
Organization Name:OXFORD VALLEY PHARMACY INC
Other - Org Name:OXFORD VALLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-269-7900
Mailing Address - Street 1:403 S OXFORD VALLEY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-4202
Mailing Address - Country:US
Mailing Address - Phone:215-269-7900
Mailing Address - Fax:215-269-9418
Practice Address - Street 1:403 S OXFORD VALLEY RD STE 1
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-4202
Practice Address - Country:US
Practice Address - Phone:215-269-7900
Practice Address - Fax:215-269-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415548L3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2125843OtherPK