Healthcare Provider Details

I. General information

NPI: 1831627553
Provider Name (Legal Business Name): TRANSFER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EDGEWOOD DRIVE EXT STE 102 SUITE 102
TRANSFER PA
16154-1817
US

IV. Provider business mailing address

225 EDGEWOOD DRIVE EXT STE 102 SUITE 102
TRANSFER PA
16154-1817
US

V. Phone/Fax

Practice location:
  • Phone: 724-646-2828
  • Fax: 724-588-2047
Mailing address:
  • Phone: 724-646-2828
  • Fax: 724-588-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP482714
License Number StatePA

VIII. Authorized Official

Name: BRETTON WALBERG
Title or Position: OWNER
Credential:
Phone: 724-612-2131