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General NPI Number Information
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NPI Number | 1093527533
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Entity Type | Organization
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Legal Business Name | METHODIST ASSOCIATES HEALTHCARE, INC.
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 500 OLD YORK ROAD SUITE 203
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City | JENKINTOWN
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State | PA
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Zip | 19046-2872
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Country | US
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Telephone | 215-886-0174
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 MARKET ST FL 19
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2926
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Country | US
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Telephone | 215-955-6161
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Fax |
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Authorized Official
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Title or Position | CREDENTIAL SPECIALIST
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Name | VESTA WILLIAMS
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Credential |
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Telephone | 215-955-1175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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