Boothwyn Pharmacy is an authorized DME supplier for medicare equipments and products.
Boothwyn Pharmacy is a Compounding Pharmacy in Kennett Square, Pennsylvania. This pharmacy is owned and operated by Boothwyn Pharmacy Llc. It is located at 221 Gale Ln, Kennett Square and it's customer support contact number is 800-476-7496. The authorized person of Boothwyn Pharmacy is Louis Micolucci who is Owner of the pharmacy and his contact number is 610-485-1130. Active license number of Boothwyn Pharmacy is PP410228L for Compounding Pharmacy in Pennsylvania. Boothwyn Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Boothwyn Pharmacy is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Boothwyn Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Boothwyn Pharmacy
Type:
Compounding Pharmacy
Location:
221 Gale Ln, Kennett Square, Pennsylvania, 19348-1735
Phone:
800-476-7496
Fax:
610-497-4371
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Louis Micolucci
Position:
Owner
Contact Number:
610-485-1130
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1861561714
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
20 Mar, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boothwyn Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Compounding Pharmacy
PP410228L
Pennsylvania
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Home Infusion Therapy Pharmacy
Secondary
Long Term Care Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7P228L
Medicaid
South Carolina
200887500A
Medicaid
Indiana
2082253
Other
Pk
7100087360
Medicaid
Kentucky
0936230001
Medicaid
Nebraska
0014804650002
Medicaid
Pennsylvania
Medicare Enrollment:
Boothwyn Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5395865935
O20131014000397
Boothwyn Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
8325323934
O20170322002154
Boothwyn Pharmacy Llc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
221 Gale Ln, Kennett Square, Pennsylvania
Zip:
19348
Phone Number:
800-476-7496
Fax Number:
610-497-4371
Patients can reach Boothwyn Pharmacy at 221 Gale Ln, Kennett Square, Pennsylvania or can call on customer care at 800-476-7496.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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