Organization
GOODHEART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIOMA AGUOCHA (PHARMACIST)
(215) 724-3300
Entity
Organization
Contact information
Practice address
4835 WOODLAND AVE, PHILADELPHIA, PA 19143-4433
(215) 724-3300
(215) 724-3301
Mailing address
4835 WOODLAND AVE, PHILADELPHIA, PA 19143-4433
(215) 724-3301
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PP482140
PA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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