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Organization
TIMI PHARMACEUTICALS, INC.
Active
Organization
TIMI PHARMACEUTICALS, INC.
Active
Other names
Pelham Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IDAYAT ADEWUNMI (OWNER)
(347) 547-4754
Entity
Organization
Contact information
Practice address
6555 GREENE ST, SUITE #3, PHILADELPHIA, PA 19119-4051
(215) 848-0512
(215) 848-0510
Mailing address
6555 GREENE ST, SUITE #3, PHILADELPHIA, PA 19119-4051
(215) 848-0512
(215) 848-0510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PP482192
PA
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169822
PK
—
Enumeration date
06/18/2017
Last updated
06/18/2017
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