Healthcare Provider Details

I. General information

NPI: 1669148151
Provider Name (Legal Business Name): NEW HOPE PHARMACY AND WELLNESS L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 10/08/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 VILLAGE ROW, LOGAN SQUARE
NEW HOPE PA
18938-1893
US

IV. Provider business mailing address

34 BALSAM CT
HOLLAND PA
18966-2164
US

V. Phone/Fax

Practice location:
  • Phone: 267-740-2950
  • Fax: 215-693-1429
Mailing address:
  • Phone: 419-494-1442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. NITIN AGGARWAL
Title or Position: PHARMACIST
Credential: RPH
Phone: 419-494-1442