Organization
PRIMARY CHOICE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUIL SHAMILOV (OWNER)
(215) 437-9043
Entity
Organization
Contact information
Practice address
5575 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 437-9043
(215) 437-9045
Mailing address
5575 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 437-9043
(215) 437-9045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP482510
PA
333600000X
Pharmacy
Primary
PP482510
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029774280002
—
PA
01
—
1194126128
DURABLE MEDICAL EQUIPMENT
PA
Enumeration date
09/09/2014
Last updated
07/08/2025
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