Organization
UNITED PHARMACY UPPERDARBY INC
Active
Other names
United Pharmacy Upper Darby
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA OBASI (PRESIDENT)
(215) 438-3880
Entity
Organization
Contact information
Practice address
206B W CHELTEN AVE, PHILADELPHIA, PA 19144-3803
(215) 438-3880
(215) 438-3883
Mailing address
206B W CHELTEN AVE, PHILADELPHIA, PA 19144-3803
(215) 438-3880
(215) 438-3883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481752
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020677540001
—
PA
01
—
3989033
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/29/2007
Last updated
01/14/2011
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