Healthcare Provider Details

I. General information

NPI: 1467452656
Provider Name (Legal Business Name): PHILIP E PEPPER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 E PLUMSTEAD AVE
LANSDOWNE PA
19050-1221
US

IV. Provider business mailing address

197 E PLUMSTEAD AVE
LANSDOWNE PA
19050-1221
US

V. Phone/Fax

Practice location:
  • Phone: 610-626-4941
  • Fax: 610-626-4905
Mailing address:
  • Phone: 610-626-4941
  • Fax: 610-626-4905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP025553L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT P BROWN
Title or Position: PIC
Credential: RPH
Phone: 610-626-4941