Derry Street Pharmacy Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
DERRY STREET PHARMACY LLC	1386126803	2024-01-04

The organization Derry Street Pharmacy Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1386126803. Registration indicates Derry Street Pharmacy Llc is a provider of services with a specialization in Suppliers, Pharmacy (Pharmacy, ) (Pharmacy/DME, ) (Pharmacy, Suppliers) Access to Pharmacies (Suppliers, Pharmacy) (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )

Entity Type	Organization
Provider Organization	DERRY STREET PHARMACY LLC
Practice Office Address	1304 DERRY ST HARRISBURG, PA US
Practice Office Telephone	7175476219
Mailing Address	1304 DERRY ST HARRISBURG, PA 171041184 US
Business Telephone	7175476219
Authorized Official	RAJU KATLA, PHARMACY MANAGE 7175476219

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