Provider Demographics
NPI:1700237567
Name:PA HEALTHCARE PHARMACEUTICAL COMPANY
Entity Type:Organization
Organization Name:PA HEALTHCARE PHARMACEUTICAL COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNALLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-363-2500
Mailing Address - Street 1:575 EXTON CMNS
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2453
Mailing Address - Country:US
Mailing Address - Phone:610-363-2500
Mailing Address - Fax:
Practice Address - Street 1:575 EXTON CMNS
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2453
Practice Address - Country:US
Practice Address - Phone:610-363-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PA HEALTHCARE PHARMACEUTICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-23
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies