Organization
TIMI PHARMACEUTICALS INC
Active
Other names
Pelham Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IDAYAT ADEWUNMI (PRESIDENT)
(347) 574-4754
Entity
Organization
Contact information
Practice address
6555 GREENE ST STE 3, PHILADELPHIA, PA 19119-4040
(215) 848-0500
(215) 848-0510
Mailing address
6555 GREENE ST STE 3, PHILADELPHIA, PA 19119-4040
(347) 574-4754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482192
PA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026319500001
—
PA
01
—
2131635
PK
—
Enumeration date
08/23/2011
Last updated
06/16/2022
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