Provider Demographics
NPI:1497776330
Name:DELPRETE'S PHARMACY
Entity Type:Organization
Organization Name:DELPRETE'S PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DELPRETE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMCIST RP030573L
Authorized Official - Phone:610-395-2602
Mailing Address - Street 1:3437 ROUTE 309
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-2419
Mailing Address - Country:US
Mailing Address - Phone:610-395-2602
Mailing Address - Fax:610-395-2740
Practice Address - Street 1:3437 ROUTE 309
Practice Address - Street 2:
Practice Address - City:OREFIELD
Practice Address - State:PA
Practice Address - Zip Code:18069-2419
Practice Address - Country:US
Practice Address - Phone:610-395-2602
Practice Address - Fax:610-395-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414680L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1304412Medicaid
PA1304412Medicaid
PA1304412Medicaid
3955514Medicare UPIN