Organization
GALU ENTERPRISES INC
Active
Other names
Philly Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAWSON (PRESIDENT)
(267) 979-3948
Entity
Organization
Contact information
Practice address
9475 ROOSEVELT BLVD STE 12, PHILADELPHIA, PA 19114-2212
(215) 969-5180
(866) 379-3198
Mailing address
9475 ROOSEVELT BLVD STE 12, PHILADELPHIA, PA 19114-2212
(215) 969-5180
(866) 379-3198
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482144
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3998599
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2012
Last updated
01/07/2013
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