NPI 1376610725

St Mary Manor

Organisation Parenteral & Enteral Nutrition Supplies (DME) Lansdale, PA

Practice location

Address: 701 Lansdale Ave, Lansdale, PA 19446-2958
Phone: (215) 368-0900
Fax: (215) 368-5254

Authorised official

Name: Michael Czekner
Title: Chief Financial Officer
Phone: (215) 368-0900

Registered specialties

Parenteral & Enteral Nutrition Supplies (DME) Primary

Suppliers Taxonomy 332BP3500X Licence 451402 (PA)

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Registry record

NPI: 1376610725
Entity type: Organization
NPI issued: 29 Nov 2006
Record last updated: 10 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.