Healthcare Provider Details

I. General information

NPI: 1437160009
Provider Name (Legal Business Name): CONTRACT PHARMACY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 HORSHAM RD 2ND FL
NORTH WALES PA
19454-1320
US

IV. Provider business mailing address

125 TITUS AVE
WARRINGTON PA
18976-2424
US

V. Phone/Fax

Practice location:
  • Phone: 215-371-1380
  • Fax: 215-371-3086
Mailing address:
  • Phone: 800-333-5012
  • Fax: 800-631-1716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP481617
License Number StatePA

VIII. Authorized Official

Name: WAYNE SHAFER
Title or Position: OWNER
Credential:
Phone: 267-478-8900