Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Parent organization
TRUSTEES OF THE UNIVERSITY O
Other names
Penn Investigational Drug Service Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUSTEES OF THE UNIVERSITY O
Authorized official
REGINA CUNNINGHAM PHD (CEO)
(215) 662-2186
Entity
Organization
Contact information
Practice address
3600 CIVIC CENTER BLVD, 10 FL (10-020), PHILADELPHIA, PA 19104
(215) 662-7911
(215) 615-1308
Mailing address
3600 CIVIC CENTER BLVD, 10 FL (10-020), PHILADELPHIA, PA 19104
(215) 662-7911
(215) 615-1308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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