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NPI Code Detail

MEDICARE: CONCEPT PHARMACY SERVICES YORK LLC

MEDICARE: CONCEPT PHARMACY SERVICES YORK LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1760149785
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCEPT PHARMACY SERVICES YORK LLC
Provider Business Mailing Address
First Line : 639 CHESTNUT STREET
Second Line :
City : ASHLAND
State : PA
Zip : 17921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 PLEASANT ACRES RD
Second Line :
City : YORK
State : PA
Zip : 17402-8975
Country : US
Telephone Number : 570-875-3611
Fax Number :
Authorized Official
Title or Position : CEO
Name : HILLEL BRULL
Credential :
Telephone Number : 570-875-3611
Provider Enumeration Date : 11/24/2021
Last Update Date : 02/11/2022

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