Organization
GRACE POINT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY C MBAH PHARM D (CHIEF PHARMACIST)
(215) 744-3800
Entity
Organization
Contact information
Practice address
6035 CASTOR AVE, PHILADELPHIA, PA 19149-3207
(215) 744-3800
(215) 744-3803
Mailing address
6035 CASTOR AVE, PHILADELPHIA, PA 19149-3207
(215) 744-3800
(215) 744-3803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PP482284
PA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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