Del Co Inst Dist Fair Acres Farm Pharmacy
Organization Active NPI Pharmacist · Glen Riddle Lima, PA
NPI 1528042967 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1528042967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- HP416553L (PA)
- Legal business name
- DEL CO INST DIST FAIR ACRES FARM PHARMACY
- Practice address
- 340 North Middletown Rd.
Glen Riddle Lima, PA 19037 - Phone
- (610) 891-5860
- Fax
- (610) 891-6438
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Mark Steven Mulholland, R.PH, MBA
- Title
- Pharmacy Director
- Phone
- (610) 891-5860
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Del Co Inst Dist Fair Acres Farm Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | HP416553L | PA | Yes |
Addresses
Primary practice location
340 North Middletown Rd.
Glen Riddle Lima, PA 19037
Mailing address
340 N. Middletown Rd.
Glen Riddle-Lima, PA 19037
Phone (610) 891-5860
Other names
- Fair Acres Pharmacy
Other providers in Glen Riddle Lima, PA
All providers in Glen Riddle Lima, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.