Basic Information
| Provider Information | |||||||||
| NPI: | 1619069119 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CONFORTI | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | MARTIN | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 275 WILTON DRIVE | ||||||||
| Address2: | |||||||||
| City: | STRASBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175791442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176877450 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1400 BLACK HORSE HILL ROAD | ||||||||
| Address2: | PHARMACY SERVICE 119 | ||||||||
| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103847711 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/29/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RP031599L | PA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.