Healthcare Provider Details

I. General information

NPI: 1104969856
Provider Name (Legal Business Name): RXD OF POTTSVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S CLAUDE A LORD BLVD
POTTSVILLE PA
17901-3637
US

IV. Provider business mailing address

PO BOX 428
COLLINGSWOOD NJ
08108-0428
US

V. Phone/Fax

Practice location:
  • Phone: 570-622-6374
  • Fax: 570-622-7350
Mailing address:
  • Phone: 856-858-9292
  • Fax: 856-858-7286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP410762L
License Number StatePA

VIII. Authorized Official

Name: MR. CRAIG E LEHRMAN
Title or Position: VICE PRESIDENT
Credential: RPH
Phone: 215-927-6700