Organization
DEJ INC
Active
Other names
CENTER APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST COCCIA (VP)
(215) 313-5512
Entity
Organization
Contact information
Practice address
800 W MOYAMENSING AVE, PHILADELPHIA, PA 19148-3709
(215) 334-1833
(215) 334-5046
Mailing address
800 W MOYAMENSING AVE, PHILADELPHIA, PA 19148-3709
(215) 334-1833
(215) 334-5046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410356L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008659020003
—
PA
01
—
2086580
PK
—
Enumeration date
10/25/2006
Last updated
04/15/2014
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