Provider Demographics
NPI:1215347208
Name:ESTERBROOK PHARMACY LLC
Entity type:Organization
Organization Name:ESTERBROOK PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTERBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-370-7559
Mailing Address - Street 1:1829 NEW HOLLAND ROAD
Mailing Address - Street 2:UNIT 10
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607
Mailing Address - Country:US
Mailing Address - Phone:610-370-7559
Mailing Address - Fax:610-743-8521
Practice Address - Street 1:1829 NEW HOLLAND ROAD
Practice Address - Street 2:UNIT 10
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607
Practice Address - Country:US
Practice Address - Phone:610-370-7559
Practice Address - Fax:610-743-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4824533336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy