Provider Demographics
NPI:1184962482
Name:EASTON CHEMISTS INC
Entity type:Organization
Organization Name:EASTON CHEMISTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY /TREASURER/ SP
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:UHAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-239-3075
Mailing Address - Street 1:1800 SULLIVAN TRL STE 305
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8494
Mailing Address - Country:US
Mailing Address - Phone:610-829-1515
Mailing Address - Fax:610-829-1517
Practice Address - Street 1:1800 SULLIVAN TRL STE 305
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-8494
Practice Address - Country:US
Practice Address - Phone:610-829-1515
Practice Address - Fax:610-829-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4823713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028209020001Medicaid
PP482371OtherBOARD OF PHARMACY
3998917OtherNCPDP
2139268OtherPK
2139268OtherPK