Provider Demographics
NPI:1609020304
Name:ACCESS WCP LLC
Entity Type:Organization
Organization Name:ACCESS WCP LLC
Other - Org Name:ACCESS WCP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-605-1001
Mailing Address - Street 1:2173 MACDADE BLVD
Mailing Address - Street 2:UNIT G AND J
Mailing Address - City:HOLMES
Mailing Address - State:PA
Mailing Address - Zip Code:19043-1217
Mailing Address - Country:US
Mailing Address - Phone:484-494-0787
Mailing Address - Fax:866-211-1416
Practice Address - Street 1:2173 MACDADE BLVD
Practice Address - Street 2:UNIT G AND J
Practice Address - City:HOLMES
Practice Address - State:PA
Practice Address - Zip Code:19043-1217
Practice Address - Country:US
Practice Address - Phone:484-494-0787
Practice Address - Fax:866-211-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4818843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3991331OtherNCPDP PROVIDER IDENTIFICATION NUMBER