Healthcare Provider Details

I. General information

NPI: 1114835790
Provider Name (Legal Business Name): BOYERTOWN PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 E PHILADELPHIA AVE
BOYERTOWN PA
19512-1125
US

IV. Provider business mailing address

2 E PHILADELPHIA AVE
BOYERTOWN PA
19512-1125
US

V. Phone/Fax

Practice location:
  • Phone: 610-421-6400
  • Fax: 610-421-6400
Mailing address:
  • Phone: 610-421-6400
  • Fax: 610-421-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ATIF SHEIKH
Title or Position: OWNER
Credential:
Phone: 610-421-6400