Organization · Type 2 NPI

Main Street Pharmacy, LLC

Long Term Care Pharmacy · Glen Mills, PA

NPI number 1710054051 Active

Practice location

100 Maris Grove Way
Glen Mills, PA 19342

Call (610) 387-4540 Map

Fax (610) 358-0243

Mailing address

1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

20 other providers at this address

NPI record

NPI: 1710054051
Entity type: Organization (Type 2)
Issued: Nov 30, 2006
Last updated: Mar 7, 2019
Status: Active

Other names

<unavail>
CVS Pharmacy #48331 · doing business as
CVS Pharmacy #48331 · doing business as

Authorized official

Susan Colbert
Sr. Director, Payer Relations
(401) 770-2751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710054051

Main Street Pharmacy, LLC's National Provider Identifier is 1710054051, issued on Nov 30, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Glen Mills, PA. The record was last updated on Mar 7, 2019.