Organization
AVON DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA SANDLER (PRESIDENT)
(215) 850-9594
Entity
Organization
Contact information
Practice address
10808 BUSTLETON AVE, PHILADELPHIA, PA 19116-3302
(215) 464-8600
(215) 464-8601
Mailing address
10808 BUSTLETON AVE, PHILADELPHIA, PA 19116-3302
(215) 464-8600
(215) 464-8601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482913
STATE BOARD LICENSE
PA
Enumeration date
09/11/2019
Last updated
01/06/2023
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