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Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Active
Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Active
Other names
METHODIST APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DISILVESTRO RPH (PHRM SUPV)
(215) 952-9385
Entity
Organization
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9385
(215) 952-1467
Mailing address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9385
(215) 952-1467
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PP481395
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10075713000
—
PA
01
—
2081612
PK
—
Enumeration date
12/13/2006
Last updated
09/23/2013
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