Healthcare Provider Details

I. General information

NPI: 1376835181
Provider Name (Legal Business Name): PALMER MEDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3769 NICHOLAS ST
EASTON PA
18045-5115
US

IV. Provider business mailing address

3769 NICHOLAS ST
EASTON PA
18045-5115
US

V. Phone/Fax

Practice location:
  • Phone: 610-438-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP482123
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP482123
License Number StatePA

VIII. Authorized Official

Name: LENA LASHER
Title or Position: PHARMACIST/MANAGING PARTNER
Credential:
Phone: 610-438-4000