Healthcare Provider Details

I. General information

NPI: 1245536176
Provider Name (Legal Business Name): HEALTH PLUS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2011
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W CHESTER PIKE
HAVERTOWN PA
19083-4416
US

IV. Provider business mailing address

805 W CHESTER PIKE
HAVERTOWN PA
19083-4416
US

V. Phone/Fax

Practice location:
  • Phone: 610-853-2393
  • Fax:
Mailing address:
  • Phone: 610-853-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP482111
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SOKMEN
Title or Position: PRESIDENT
Credential:
Phone: 610-853-2393