# CENTENNIAL PHARMACY SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** centennial Pharmacy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720640634
- **Authorized official:** DR. JAY MANDRA PHARMD (CEO)
- **Authorized official phone:** (609) 200-5565

## Contact information

- **Practice address:** 1020 N DELAWARE AVE STE 200, PHILADELPHIA, PA 19125-4334
- **Practice address phone:** (267) 534-5025
- **Practice address fax:** (267) 324-5418
- **Mailing address:** 1020 N DELAWARE AVE STE 200, PHILADELPHIA, PA 19125-4334
- **Mailing address phone:** (215) 850-5701
- **Mailing address fax:** (800) 720-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2019
- **Last updated:** 07/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1035739960001 | — | PA |