Organization
ANGEL CARE PHARMACY LLC
Active
Other names
angel care pharmacy llc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVIA TCHANQUE DOCTOR (OWNER)
(610) 708-3858
Entity
Organization
Contact information
Practice address
7223A RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(610) 708-3858
(610) 708-3859
Mailing address
7223A RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(610) 708-3858
(610) 708-3859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103815854-001
—
PA
Enumeration date
09/04/2020
Last updated
09/30/2024
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