Provider Demographics
NPI:1487148524
Name:PHOEBE SERVICES INC
Entity type:Organization
Organization Name:PHOEBE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP PHARMACY
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:STAMATIA
Authorized Official - Last Name:RICHART
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-794-5380
Mailing Address - Street 1:1001 E OREGON RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9205
Mailing Address - Country:US
Mailing Address - Phone:717-581-3950
Mailing Address - Fax:717-581-3952
Practice Address - Street 1:1001 E OREGON RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9205
Practice Address - Country:US
Practice Address - Phone:717-581-3950
Practice Address - Fax:717-581-3952
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOEBE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4827833336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy