Provider Demographics
NPI:1730799479
Name:WIND GAP COMMUNITY PHARMACY INC
Entity type:Organization
Organization Name:WIND GAP COMMUNITY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-274-5428
Mailing Address - Street 1:31 W 1ST ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:WIND GAP
Mailing Address - State:PA
Mailing Address - Zip Code:18091-1515
Mailing Address - Country:US
Mailing Address - Phone:610-881-4260
Mailing Address - Fax:610-881-4270
Practice Address - Street 1:31 W 1ST ST UNIT B
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-1515
Practice Address - Country:US
Practice Address - Phone:610-881-4260
Practice Address - Fax:610-881-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy