Healthcare Provider Details

I. General information

NPI: 1871398578
Provider Name (Legal Business Name): MARY BETH HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 08/20/2026
Certification Date: 03/16/2025
Deactivation Date: 03/17/2025
Reactivation Date: 08/20/2026

III. Provider practice location address

PO BOX 367
MACUNGIE PA
18062-0367
US

IV. Provider business mailing address

PO BOX 367
MACUNGIE PA
18062-0367
US

V. Phone/Fax

Practice location:
  • Phone: 610-966-7847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP041565L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: