Healthcare Provider Details

I. General information

NPI: 1831233048
Provider Name (Legal Business Name): ELKINS PARK PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 HIGH SCHOOL RD
ELKINS PARK PA
19027-2639
US

IV. Provider business mailing address

7901 HIGH SCHOOL RD
ELKINS PARK PA
19027-2639
US

V. Phone/Fax

Practice location:
  • Phone: 215-782-1336
  • Fax: 215-782-1334
Mailing address:
  • Phone: 215-782-1336
  • Fax: 215-782-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRYL JOSEPH BRODZINSKI
Title or Position: PREDSIDENT
Credential:
Phone: 215-782-1336