Healthcare Provider Details

I. General information

NPI: 1164060851
Provider Name (Legal Business Name): HARTZELLS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2019
Last Update Date: 12/13/2019
Certification Date: 12/13/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 AMERICAN ST
CATASAUQUA PA
18032-1800
US

IV. Provider business mailing address

300 AMERICAN ST
CATASAUQUA PA
18032-1800
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-5471
  • Fax: 610-264-3048
Mailing address:
  • Phone: 610-264-5471
  • Fax: 610-264-3048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: VINCENT ANTHONY HARTZELL
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 610-264-5471