Organization
GILEAD PHARMACY INC
Active
Other names
GILEAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FOLUKE ODUSEUN (STORE MGR, AO)
(267) 439-8292
Entity
Organization
Contact information
Practice address
1226 N 52ND ST FL 1, PHILADELPHIA, PA 19131-4315
(267) 713-7066
(215) 921-2708
Mailing address
1226 N 52ND ST. FL 1, PHILADELPHIA, PA 19131-4315
(267) 713-7066
(215) 921-2708
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176474
PK
—
Enumeration date
03/30/2018
Last updated
07/19/2018
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