Healthcare Provider Details

I. General information

NPI: 1962647867
Provider Name (Legal Business Name): HOMETECH THERAPIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CONCORD RD STE 101
ASTON PA
19014-1931
US

IV. Provider business mailing address

3200 CONCORD RD SUITE 101
ASTON PA
19014-1931
US

V. Phone/Fax

Practice location:
  • Phone: 877-586-3816
  • Fax: 610-364-1305
Mailing address:
  • Phone: 877-586-3816
  • Fax: 610-364-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481839
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CAROL BARON
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 610-368-5443