Provider Demographics
NPI:1518624402
Name:TERMED OF BERKS COUNTY INC
Entity Type:Organization
Organization Name:TERMED OF BERKS COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HUDON
Authorized Official - Suffix:III
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-369-8888
Mailing Address - Street 1:2 E PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-1125
Mailing Address - Country:US
Mailing Address - Phone:610-369-3888
Mailing Address - Fax:610-369-3886
Practice Address - Street 1:2 E PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-1125
Practice Address - Country:US
Practice Address - Phone:610-369-3888
Practice Address - Fax:610-369-3886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy