Organization
FRANCIS J BERENATO
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS BERENATO RPH (OWNER PHARMACIST)
(215) 389-4077
Entity
Organization
Contact information
Practice address
1951 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3620
(215) 389-4077
(215) 551-1858
Mailing address
1951 W PASSYUNK AVE, PHILADELPHIA, PA 19145-3620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP410096L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012454650002
—
PA
01
—
3962190
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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