Boothwyn Pharmacy

LBN: Boothwyn Pharmacy Llc
Boothwyn Pharmacy is an health care organization with primary practice located at 221 Gale Ln , Kennett Square PA 19348-1735. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Boothwyn Pharmacy Llc can be contacted via phone (800) 476-7496, or through Micolucci, Louis via phone (610) 485-1130.

Contact Information

Primary practice address
221 Gale Ln Kennett Square PA 19348-1735
Phone: (800) 476-7496
Fax: (610) 497-4371
Website:
Map and Directions
Authorized official contact:
Name: Micolucci, Louis
Phone: (610) 485-1130

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PP410228L Pennsylvania
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1861561714
LBN Legal business name Boothwyn Pharmacy Llc
DBA Doing business as Boothwyn Pharmacy
Authorized official Micolucci, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861561714 NPPES
South Carolina MEDICAID 7P228L
South Carolina MEDICAID 200887500A
South Carolina Other 2082253
South Carolina MEDICAID 7100087360
South Carolina MEDICAID 0936230001
South Carolina MEDICAID 0014804650002

Popular Providers