Healthcare Provider Details

I. General information

NPI: 1437154937
Provider Name (Legal Business Name): ASTON PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SCHEIVERT AVE
ASTON PA
19014-2762
US

IV. Provider business mailing address

10 SCHEIVERT AVE
ASTON PA
19014-2762
US

V. Phone/Fax

Practice location:
  • Phone: 610-494-1445
  • Fax: 610-494-7697
Mailing address:
  • Phone: 610-494-1445
  • Fax: 610-494-7697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPP410090L
License Number StatePA

VIII. Authorized Official

Name: MR. JOSEPH FUSELLI
Title or Position: PRESIDENT/CEO
Credential: RPH
Phone: 610-494-1445