Organization
PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Active
Parent organization
PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Other names
Penn Presbyterian Apothecary
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Authorized official
MR. ROBERT RUSSELL (ASSOCIATE EXECUTIVE DIRECTOR/COO)
(215) 662-9108
Entity
Organization
Contact information
Practice address
51 N 39TH STREET, MUTCH BUILDING-OUTPATIENT PHARMACY, PHILADELPHIA, PA 19104
(215) 662-9496
(215) 243-4671
Mailing address
51 N 39TH STREET, CUPP BASEMENT -PHARMACY, PHILADELPHIA, PA 19104
(215) 662-8213
(215) 243-4644
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070029
—
PA
Enumeration date
08/03/2022
Last updated
08/03/2022
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