Healthcare Provider Details

I. General information

NPI: 1396512844
Provider Name (Legal Business Name): NORTHWEST PHARMACY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N FRANKLIN ST
COCHRANTON PA
16314-9706
US

IV. Provider business mailing address

PO BOX 601
COCHRANTON PA
16314-0601
US

V. Phone/Fax

Practice location:
  • Phone: 814-638-0040
  • Fax: 814-638-0104
Mailing address:
  • Phone: 814-638-0040
  • Fax: 814-638-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HANSEN
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 814-638-0040