Healthcare Provider Details

I. General information

NPI: 1316267255
Provider Name (Legal Business Name): WELSH PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 WELSH RD STE 4
PHILADELPHIA PA
19115-3172
US

IV. Provider business mailing address

927 E BALTIMORE AVE STE J-K
LANSDOWNE PA
19050-2749
US

V. Phone/Fax

Practice location:
  • Phone: 215-613-7334
  • Fax: 215-613-7347
Mailing address:
  • Phone: 484-461-7501
  • Fax: 484-461-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP482062
License Number StatePA

VIII. Authorized Official

Name: MITESH PATEL
Title or Position: MEMBER
Credential:
Phone: 484-461-7501