Organization
GERMANTOWN PHARMA INC
Active
Organization
GERMANTOWN PHARMA INC
Active
Other names
Germantown Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANJEET GOLI RPH (PRESIDENT)
(215) 844-1319
Entity
Organization
Contact information
Practice address
5100 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2327
(215) 844-1319
(215) 438-3947
Mailing address
5100 GERMANTOWN AVE, PHILADELPHIA, PA 19144-2327
(215) 844-1319
(215) 438-3947
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039111610911
PACE PROGRAM PA
PA
05
—
1026106830001
—
PA
01
—
139111610911
RENAL PROGRAM PA
PA
Enumeration date
07/10/2006
Last updated
06/30/2015
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