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BROCKIE HEALTHCARE INC NPI 1790841062


NPI Information

NPI: 1790841062
Provider Name: BROCKIE HEALTHCARE INC

Doing Business As: BROCKIE PHARMATECH

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
118 PLEASANT ACRES RD
YORK, PA
ZIP 17402
Phone: (717) 840-7144
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BROCKIE HEALTHCARE INC is a long term care pharmacy pharmacy in York, PA. The provider is 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. BROCKIE HEALTHCARE INC NPI is 1790841062. The provider is registered as an organization entity type.
The provider Is Doing Business As Brockie Pharmatech.

The provider's business location address is:

118 PLEASANT ACRES RD
YORK, PA
ZIP 17402-975
Phone: (717) 840-7144
Fax: (717) 757-5756

The provider's authorized official is John Gillespie .
The authorized official title is Vp Of Opr and has the following contact phone number (717) 848-3445.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPP415755LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007508720011MEDICAIDPENNSYLVANIA
21007508720013MEDICAIDPENNSYLVANIA
33978600OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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