Healthcare Provider Details

I. General information

NPI: 1487148524
Provider Name (Legal Business Name): PHOEBE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E OREGON RD
LITITZ PA
17543-9205
US

IV. Provider business mailing address

1001 E OREGON RD
LITITZ PA
17543-9205
US

V. Phone/Fax

Practice location:
  • Phone: 717-581-3950
  • Fax: 717-581-3952
Mailing address:
  • Phone: 717-581-3950
  • Fax: 717-581-3952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP482783
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. CYNTHIA STAMATIA RICHART
Title or Position: VP PHARMACY
Credential: RPH
Phone: 610-794-5380