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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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