Provider Demographics
NPI:1144275769
Name:STELTZ PHARMACY INC
Entity type:Organization
Organization Name:STELTZ PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:STELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-578-0411
Mailing Address - Street 1:23 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1601
Mailing Address - Country:US
Mailing Address - Phone:610-578-0411
Mailing Address - Fax:610-578-0419
Practice Address - Street 1:23 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1601
Practice Address - Country:US
Practice Address - Phone:610-578-0411
Practice Address - Fax:610-578-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X, 332B00000X, 3336H0001X
PAPP415749L3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0083631Medicaid
MD4188322Medicaid
3978535OtherNCPDP PROVIDER IDENTIFICATION NUMBER
DE1144275769Medicaid
PA0018301420001Medicaid
NJ0083615Medicaid
LA2330501Medicaid
3978535OtherNCPDP PROVIDER IDENTIFICATION NUMBER