Organization
INDEPENDENT RX INCORPORATED
Active
Other names
Centennial Pharmacy-Bridesburg
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DYMOWSKI PHARM D. (PRESIDENT/OWNER)
(215) 535-4111
Entity
Organization
Contact information
Practice address
2660 LEFEVRE ST, PHILADELPHIA, PA 19137-2044
(215) 535-4111
(215) 535-4115
Mailing address
2660 LEFEVRE ST, PHILADELPHIA, PA 19137-2044
(215) 535-4111
(215) 535-4115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015440460002
—
PA
01
—
2082058
PK
—
Enumeration date
11/07/2007
Last updated
06/25/2014
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