Provider Demographics
NPI:1013432673
Name:CHESTER DISCOUNT PHARMACY LLC
Entity Type:Organization
Organization Name:CHESTER DISCOUNT PHARMACY LLC
Other - Org Name:CHESTER DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:
Authorized Official - First Name:SASIREKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-768-6167
Mailing Address - Street 1:3107 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-1716
Mailing Address - Country:US
Mailing Address - Phone:267-664-5029
Mailing Address - Fax:
Practice Address - Street 1:3107 W 9TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-1716
Practice Address - Country:US
Practice Address - Phone:484-768-6167
Practice Address - Fax:484-768-6156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4827423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy