Organization
ZEVIN'S DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DAVID KERCHUSKY R.PH. (PHARMACY MANAGER)
(215) 468-0622
Entity
Organization
Contact information
Practice address
800 MCKEAN ST, PHILADELPHIA, PA 19148-2342
(215) 468-0622
(215) 468-0175
Mailing address
800 MCKEAN ST, PHILADELPHIA, PA 19148-2342
(215) 468-0622
(215) 468-0175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412990L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3907637
NCPDP/NABP NUMBER
PA
Enumeration date
09/16/2006
Last updated
02/19/2008
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