Provider Demographics
NPI:1841384153
Name:WRIGHTSTOWN PHARMACY
Entity Type:Organization
Organization Name:WRIGHTSTOWN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORTINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-598-3771
Mailing Address - Street 1:842 DURHAM RD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9683
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:842 DURHAM RD
Practice Address - Street 2:SUITE 22
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9683
Practice Address - Country:US
Practice Address - Phone:215-598-3771
Practice Address - Fax:215-598-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X
PAPP4816203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3987077OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3987077OtherOTHER ID NUMBER