BOOTHWYN PHARMACY LLC
Medical Equipment Supplier Yellow Pages
Kennett Square, Pennsylvania
Provider NPI: 1861561714
Organization Information:Organization Name: BOOTHWYN PHARMACY LLC
Practice Location:
221 GALE LN KENNETT SQUARE, PA 19348 US
Tel: 800-476-7496 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
221 GALE LN KENNETT SQUARE, PA 19348 US
Tel: 800-476-7496 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
N | 3336C0003X | Suppliers Pharmacy | ||
N | 3336H0001X | Suppliers Pharmacy | ||
N | 3336L0003X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0004X | Suppliers Pharmacy | PA | PP410228L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0014804650002 | PA | 05 | |
PK | 2082253 | 01 | |
7P228L | SC | 05 | |
0936230001 | NE | 05 | |
200887500A | IN | 05 | |
7100087360 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin