Organization
CHESTER PIKE PHARMACY LLC
Active
Organization
CHESTER PIKE PHARMACY LLC
Active
Other names
MacDade Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN-CLAUDE DJELHI YAHOT (OWNER/MANAGER)
(215) 300-9371
Entity
Organization
Contact information
Practice address
637 MACDADE BLVD, COLLINGDALE, PA 19023-3417
(610) 522-5200
(610) 522-5202
Mailing address
637 MACDADE BLVD, COLLINGDALE, PA 19023-3417
(610) 522-5200
(610) 522-5202
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482431
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102867515-0001
—
PA
01
—
2142363
PK
—
Enumeration date
08/09/2013
Last updated
02/11/2014
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