Provider Demographics
NPI:1477035533
Name:ASPN PHARMACIES 2 LLC
Entity Type:Organization
Organization Name:ASPN PHARMACIES 2 LLC
Other - Org Name:ASPN PHARMACIES 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-564-8004
Mailing Address - Street 1:4850 E STREET RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6600
Mailing Address - Country:US
Mailing Address - Phone:973-564-8004
Mailing Address - Fax:866-581-1351
Practice Address - Street 1:4850 E STREET RD STE 400
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6600
Practice Address - Country:US
Practice Address - Phone:973-564-8004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA24680305333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy