Organization
SOUSAN PHARMACY INC
Active
Organization
SOUSAN PHARMACY INC
Active
Other names
SOUSAN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT HAAZ RPH (OWNER AND PRESIDENT)
(215) 635-4200
Entity
Organization
Contact information
Practice address
8029 OLD YORK RD, ELKINS PARK, PA 19027-1413
(215) 635-4200
(215) 635-3654
Mailing address
8029 OLD YORK RD, ELKINS PARK, PA 19027-1413
(215) 635-4200
(215) 635-3654
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP412344L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3914024
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/27/2005
Last updated
07/01/2010
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