Provider Information for 1730177668
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PHARMACY, INC.
Other Names:Doing Business As:AEROCAREOrganization Subpart: YES
NPI: 1730177668
Last Updated: 2022-11-14
Certification Date: 2022-11-09
Certification Date: 2022-11-09
Details
| Name | Value | ||||||||||||||||
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| NPI | 1730177668 | ||||||||||||||||
| Enumeration Date | 2005-10-13 | ||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Authorized Official Information | Name: Mr. STEPHEN GRIGGS Title: CEO Phone: 4072060040 | ||||||||||||||||
| Mailing Address | 220 W GERMANTOWN PIKE STE 250 PLYMOUTH MEETING, PA 19462-1437 United States Phone: 610-630-6357 | Fax: | ||||||||||||||||
| Primary Practice Address | 370 INDUSTRIAL RD MURRAY, KY 42071 United States Phone: 866-280-3494 | Fax:866-855-6341 | ||||||||||||||||
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