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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