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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