Organization
VISU LLC
Active
Other names
29 TH ST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA EZEIFE RPH (MEMBER)
(215) 309-3866
Entity
Organization
Contact information
Practice address
2334 N 29TH ST FL 1, PHILADELPHIA, PA 19132-3409
(215) 309-6866
(215) 309-6865
Mailing address
2334 N 29TH ST FL 1, PHILADELPHIA, PA 19132-3409
(215) 309-6866
(215) 309-6865
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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