Healthcare Provider Details

I. General information

NPI: 1366276016
Provider Name (Legal Business Name): ACTION PHARM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 PENNSYLVANIA AVE STE 323
FORT WASHINGTON PA
19034-3311
US

IV. Provider business mailing address

540 PENNSYLVANIA AVE STE 323
FORT WASHINGTON PA
19034-3311
US

V. Phone/Fax

Practice location:
  • Phone: 267-628-0268
  • Fax: 267-628-0267
Mailing address:
  • Phone: 267-628-0268
  • Fax: 267-628-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MARCUS TANCREDI
Title or Position: MEMBER
Credential: RPH
Phone: 856-278-1647