Organization
CEDAR CARE PHARMACY LLC
Active
Organization
CEDAR CARE PHARMACY LLC
Active
Other names
cedar care pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UCHECHUKWU NWOBODO (PHARMACY MANAGER)
(215) 307-3334
Entity
Organization
Contact information
Practice address
543 S 52ND ST, PHILADELPHIA, PA 19143-1532
(215) 307-3334
(215) 921-3661
Mailing address
543 S. 52ND STREET, PHILADELPHIA, PA 19143
(215) 307-3334
(215) 921-3661
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3996634
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/05/2012
Last updated
03/17/2012
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