Healthcare Provider Details

I. General information

NPI: 1720196629
Provider Name (Legal Business Name): NARBERTH PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 HAVERFORD AVE
NARBERTH PA
19072
US

IV. Provider business mailing address

220 HAVERFORD AVE
NARBERTH PA
19072
US

V. Phone/Fax

Practice location:
  • Phone: 610-664-4800
  • Fax: 610-664-7911
Mailing address:
  • Phone: 610-664-4800
  • Fax: 610-664-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP415433L
License Number State

VIII. Authorized Official

Name: MR. JEROME LERNER
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 610-664-4800