Organization
WYOMING PHARMACY LLC
Active
Other names
Wyoming Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAIFUL ISLAM PHARMACIST (PHARMACIST IN CHARGE)
(407) 967-6840
Entity
Organization
Contact information
Practice address
333 E WYOMING AVE, PHILADELPHIA, PA 19120-4434
(215) 333-1555
Mailing address
333 E WYOMING AVE, PHILADELPHIA, PA 19120-4434
(215) 333-1555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482943
STATE BOARD
PA
Enumeration date
01/18/2020
Last updated
01/18/2020
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