Provider Demographics
NPI:1912484296
Name:PHOEBE SERVICES INC
Entity Type:Organization
Organization Name:PHOEBE SERVICES INC
Other - Org Name:PHOEBE SERVICES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT PHARMACY
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:STAMATIA
Authorized Official - Last Name:RICHART
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-794-5380
Mailing Address - Street 1:6520 STONEGATE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9297
Mailing Address - Country:US
Mailing Address - Phone:610-794-5380
Mailing Address - Fax:610-794-5415
Practice Address - Street 1:311 BETHLEHEM PIKE STE N
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9809
Practice Address - Country:US
Practice Address - Phone:610-794-4250
Practice Address - Fax:215-716-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4827993336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy