Provider Demographics
NPI:1750864047
Name:YORK DRUG MART LLC
Entity Type:Organization
Organization Name:YORK DRUG MART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPRATHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-206-1439
Mailing Address - Street 1:135 N DUKE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-1116
Mailing Address - Country:US
Mailing Address - Phone:717-356-2650
Mailing Address - Fax:
Practice Address - Street 1:135 N DUKE ST STE 1
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1116
Practice Address - Country:US
Practice Address - Phone:717-356-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy