Provider Demographics
NPI:1851462824
Name:EASTWICK PHARMACY CARE
Entity type:Organization
Organization Name:EASTWICK PHARMACY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:215-492-8800
Mailing Address - Street 1:2801 ISLAND RD
Mailing Address - Street 2:STE 10 11
Mailing Address - City:AHILO
Mailing Address - State:CA
Mailing Address - Zip Code:19153
Mailing Address - Country:US
Mailing Address - Phone:215-492-8800
Mailing Address - Fax:215-492-6421
Practice Address - Street 1:2801 ISLAND RD
Practice Address - Street 2:STE 10 11
Practice Address - City:AHILO
Practice Address - State:PA
Practice Address - Zip Code:19153
Practice Address - Country:US
Practice Address - Phone:215-492-8800
Practice Address - Fax:215-492-6421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty