Provider Demographics
NPI:1518664085
Name:BELLS MARKET PHARMACY II LLC
Entity Type:Organization
Organization Name:BELLS MARKET PHARMACY II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUTSOURADIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-988-4600
Mailing Address - Street 1:1055 BUSTLETON PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7608
Mailing Address - Country:US
Mailing Address - Phone:267-988-4600
Mailing Address - Fax:
Practice Address - Street 1:1055 BUSTLETON PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7608
Practice Address - Country:US
Practice Address - Phone:267-988-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy