Healthcare Provider Details

I. General information

NPI: 1740384700
Provider Name (Legal Business Name): MORRISVILLE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W TRENTON AVE
MORRISVILLE PA
19067-3510
US

IV. Provider business mailing address

411 W TRENTON AVE
MORRISVILLE PA
19067-3510
US

V. Phone/Fax

Practice location:
  • Phone: 215-295-1002
  • Fax: 215-295-4033
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481621
License Number StatePA

VIII. Authorized Official

Name: CAROL MARKOWITZ
Title or Position: PHARMACY MGR
Credential: RPH
Phone: 215-295-1000