NPI 1487119996 · live from the CMS NPI Registry
Alliance PA Pharmacy, LLC.
Pharmacy in Wyomissing, PA. National Provider Identifier 1487119996, active.
NPI record
| NPI | 1487119996 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1235 Penn Ave Ste 101, Wyomissing, PA 19610 |
| Practice phone | 610-376-3000 |
| Enumerated | February 8, 2019 |
| Last updated | February 8, 2019 |
| Authorized official | David Grodman, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.