Organization
PHILLY PHARMACY LLC
Active
Other names
Philly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GARCIA (DIRECTOR OF PHARMACY)
(215) 625-6668
Entity
Organization
Contact information
Practice address
210 MARKET ST, PHILADELPHIA, PA 19106-2805
(215) 625-6668
(888) 364-8994
Mailing address
210 MARKET ST, PHILADELPHIA, PA 19106-2805
(215) 625-6668
(888) 364-8994
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023827480001
—
PA
01
—
3992698
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/05/2009
Last updated
02/27/2012
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