Organization
DELAIRE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGOC T CHUNG (PHARMACIST/STORE MANAGER)
(267) 343-8741
Entity
Organization
Contact information
Practice address
9456 STATE RD, PHILADELPHIA, PA 19114-3079
(267) 343-8741
(267) 343-8798
Mailing address
9456 STATE RD STORE #13, PHILADELPHIA, PA 19114-3079
(267) 343-8742
(267) 343-8798
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
09/19/2013
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