Provider Demographics
NPI:1659361871
Name:BUDGET PHARMACY AND WELLNESS CENTER
Entity Type:Organization
Organization Name:BUDGET PHARMACY AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOPACKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-322-4048
Mailing Address - Street 1:1137 BUSTLETON PIKE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7609
Mailing Address - Country:US
Mailing Address - Phone:215-322-4048
Mailing Address - Fax:215-322-6160
Practice Address - Street 1:1137 BUSTLETON PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE
Practice Address - State:PA
Practice Address - Zip Code:19053-7609
Practice Address - Country:US
Practice Address - Phone:215-322-4048
Practice Address - Fax:215-322-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP410634L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1623110Medicaid
PA5713660001Medicare NSC