Southmoore Pharmacy Llc
Community/Retail Pharmacy
2453 Plaza Ct Ste A, Bath
Pennsylvania, 18014-8762
484-287-6337 484-287-6340
Southmoore Pharmacy Llc is a Community/Retail Pharmacy in Bath, Pennsylvania. It is located at 2453 Plaza Ct Ste A, Bath and it's customer support contact number is 484-287-6337. The authorized person of Southmoore Pharmacy Llc is Dawn Weber who is Partner of the pharmacy and his contact number is 484-287-6337. Active license number of Southmoore Pharmacy Llc is PP482196 for Community/Retail Pharmacy in Pennsylvania. Southmoore Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southmoore Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Southmoore Pharmacy Llc 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: | Southmoore Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 2453 Plaza Ct Ste A, Bath,
Pennsylvania, 18014-8762 |
| Phone: | 484-287-6337 |
| Fax: | 484-287-6340 |
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: | Dawn Weber |
| Position: | Partner |
| Contact Number: | 484-287-6337 |
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: | 1811254493 |
| NPI Enumeration Date: | 19 Apr, 2012 |
| NPI Last Update On: | 13 Jan, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southmoore Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP482196 | Pennsylvania | Primary | |
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 |
| 3997181 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
Southmoore Pharmacy Llc 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 |
| 4284897653 | O20120522001030 | Southmoore Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 4284897653 | O20140103001191 | Southmoore Pharmacy Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2453 Plaza Ct Ste A,
Bath, Pennsylvania |
| Zip: | 18014 |
| Phone Number: | 484-287-6337 |
| Fax Number: | 484-287-6340 |
Patients can reach Southmoore Pharmacy Llc at
2453 Plaza Ct Ste A, Bath, Pennsylvania or can
call on customer care at 484-287-6337.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.