Healthcare Provider Details

I. General information

NPI: 1063960755
Provider Name (Legal Business Name): WORKERS FIRST PHARMACY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2016
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W 4TH ST STE B
BRIDGEPORT PA
19405-1012
US

IV. Provider business mailing address

207 W 4TH ST STE B
BRIDGEPORT PA
19405-1012
US

V. Phone/Fax

Practice location:
  • Phone: 484-328-4700
  • Fax:
Mailing address:
  • Phone: 484-328-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERT SCOGNA
Title or Position: MBR REPRESENTATIVE
Credential:
Phone: 484-328-4700