Organization
TACONY PHARMACY INC
Active
Other names
tacony pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI GBOMITA (OWNER)
(267) 686-6256
Entity
Organization
Contact information
Practice address
7100 TORRESDALE AVE, PHILADELPHIA, PA 19135-1313
(267) 686-6256
(267) 686-6244
Mailing address
7100 TORRESDALE AVE, PHILADELPHIA, PA 19135
(267) 686-6256
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482617
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157985
PK
—
Enumeration date
02/12/2016
Last updated
03/03/2022
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