Organization
LIFESPRING PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR NWOKO PHARMD (MANAGER)
(215) 309-0190
Entity
Organization
Contact information
Practice address
1415 STENTON AVE, PHILADELPHIA, PA 19141-2011
(215) 309-0190
Mailing address
1415 STENTON AVE, PHILADELPHIA, PA 19141-2011
(215) 309-0190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP483052
PHARMACY LICENSE NUMBER
PA
Enumeration date
12/08/2021
Last updated
12/09/2021
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