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Derry Street Pharmacy LLC — NPI 1386126803, Harrisburg, PA | NPI Central

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NPI 1386126803

OrganizationActive

Derry Street Pharmacy LLC

NPI 1386126803 · Pharmacy · Harrisburg, PA

Provider details

NPI number: 1386126803
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Raju Katla, Pharmacy Manager(717) 547-6219
License: PP482814 (PA)

Specialties & taxonomies

PharmacyPrimary333600000XLicense PP482814 (PA)
Suppliers
Community/Retail Pharmacy3336C0003XLicense PP482814 (PA)
Suppliers

Practice location

1304 Derry St

Harrisburg, PA 17104-1184

Phone: (717) 547-6219

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

1304 Derry St

Harrisburg, PA 17104-1184

Registry dates

Enumerated: 2018-08-31
Last updated: 2024-01-05
Certified: 2024-01-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.