Healthcare Provider Details

I. General information

NPI: 1770582397
Provider Name (Legal Business Name): HARTZELLS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
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 TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP410987L
License Number StatePA

VIII. Authorized Official

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