Provider Demographics
NPI:1316267255
Name:WELSH PHARMACY LLC
Entity type:Organization
Organization Name:WELSH PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-461-7501
Mailing Address - Street 1:927 E BALTIMORE AVE STE J-K
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2749
Mailing Address - Country:US
Mailing Address - Phone:484-461-7501
Mailing Address - Fax:484-461-7503
Practice Address - Street 1:1701 WELSH RD STE 4
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3172
Practice Address - Country:US
Practice Address - Phone:215-613-7334
Practice Address - Fax:215-613-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4820623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3993892OtherNCPDP PROVIDER IDENTIFICATION NUMBER