Organization
LOMBARD APOTHECARY INC
Active
Other names
LOMBARD APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HAYNES (PHARMACIST)
(215) 732-7888
Entity
Organization
Contact information
Practice address
1745 SOUTH ST, PHILADELPHIA, PA 19146-1528
(215) 732-7888
(215) 732-9772
Mailing address
PO BOX 7908, PHILADELPHIA, PA 19101-7908
(215) 732-7888
(215) 732-9772
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481188L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019565950001
—
PA
01
—
3000008269
PA DRUG & DEVICE REGISTRATION - DISTRIBUTOR
PA
01
—
3981075
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
8000001938
PA DRUG & DEVICE LICENSE - WHOLESALER/DISTRIBUTOR
PA
01
—
84136809
PA SALES TAX LICENSE
PA
01
—
PP411697L
PA PHARMACY LICENSE
PA
Enumeration date
07/07/2005
Last updated
03/07/2023
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