Healthcare Provider Details

I. General information

NPI: 1093623274
Provider Name (Legal Business Name): AL & SP WIND GAP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 S BROADWAY
WIND GAP PA
18091-1425
US

IV. Provider business mailing address

1010 E DRINKER ST
DUNMORE PA
18512-2607
US

V. Phone/Fax

Practice location:
  • Phone: 610-881-4260
  • Fax: 610-881-4270
Mailing address:
  • Phone: 610-881-4260
  • Fax: 610-881-4270

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: SAUMILBHAI PATEL
Title or Position: MANAGING MAMBER
Credential:
Phone: 570-604-6871