Organization
PPSCARE PHARMACY LLC
Active
Other names
Ppscare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWOLE WILLIAMS (RPH)
(215) 884-3126
Entity
Organization
Contact information
Practice address
106 N HILLS AVE, 1ST FLOOR, GLENSIDE, PA 19038-1607
(215) 885-5200
Mailing address
125 JACKSON AVE, GLENSIDE, PA 19038-1011
(215) 884-3126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3997751
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/28/2012
Last updated
08/02/2012
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