Healthcare Provider Details

I. General information

NPI: 1730084088
Provider Name (Legal Business Name): BLOCKCHAIN STERILE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 HORACE AVE
ABINGTON PA
19001-3807
US

IV. Provider business mailing address

1811 HORACE AVE
ABINGTON PA
19001-3807
US

V. Phone/Fax

Practice location:
  • Phone: 215-239-9774
  • Fax: 215-525-9321
Mailing address:
  • Phone: 215-239-9774
  • Fax: 215-525-9321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEFFREY FRIEDMAN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 386-864-2478