=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528979374
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APH PHARMA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2026
-----------------------------------------------------
Last Update Date | 09/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 849 E BALTIMORE PIKE
-----------------------------------------------------
City | KENNETT SQUARE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19348-1801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-900-6126
-----------------------------------------------------
Fax | 610-817-3789
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 849 E BALTIMORE PIKE
-----------------------------------------------------
City | KENNETT SQUARE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19348-1801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-900-6126
-----------------------------------------------------
Fax | 610-817-3789
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | POORNIMA PERUMKULAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-900-6126
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------