Organization
ATRIUM CORPORATION
Active
Organization
ATRIUM CORPORATION
Active
Other names
Jefferson Pharmacy - Walnut Street
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LEWIS (PRESIDENT)
(215) 955-6000
Entity
Organization
Contact information
Practice address
908 WALNUT STREET, PHILADELPHIA, PA 19107-5564
(215) 503-1135
Mailing address
908 WALNUT STREET, PHILADELPHIA, PA 19107-5564
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072347630002
—
PA
01
—
3928744
NCPDP NUMBER
—
Enumeration date
10/03/2006
Last updated
08/22/2020
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