Healthcare Provider Details

I. General information

NPI: 1194680330
Provider Name (Legal Business Name): AHRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 WESTLAKES DR STE 155
BERWYN PA
19312-2410
US

IV. Provider business mailing address

1055 WESTLAKES DR STE 155
BERWYN PA
19312-2410
US

V. Phone/Fax

Practice location:
  • Phone: 877-389-9040
  • Fax:
Mailing address:
  • Phone: 877-389-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LAUREN SCHULTZ
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 877-389-9040