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Organization
WILLITS ROAD PHARMACY INC
Active
Organization
WILLITS ROAD PHARMACY INC
Active
Other names
Willits Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES CAVANAUGH RPH (VICE PRESIDENT)
(215) 673-9909
Entity
Organization
Contact information
Practice address
3122-24 WILLITS ROAD, PHILADELPHIA, PA 19136-1116
(215) 673-9909
(215) 673-3824
Mailing address
3122-24 WILLITS ROAD, PHILADELPHIA, PA 19136-1116
(215) 673-9909
(215) 673-3824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP415332L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664883
—
PA
Enumeration date
02/15/2006
Last updated
10/22/2010
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