Organization
GARRETT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM PHAM NGUYEN R.PH. (OWNER, PHARMACIST-IN-CHARGE)
(610) 352-2477
Entity
Organization
Contact information
Practice address
140 GARRETT RD, UPPER DARBY, PA 19082-3106
(610) 352-2477
(610) 352-3911
Mailing address
140 GARRETT RD, UPPER DARBY, PA 19082-3106
(610) 352-2477
(610) 352-3911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP033704L
PA
333600000X
Pharmacy
Primary
PP414602L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664408
—
PA
Enumeration date
09/26/2005
Last updated
06/14/2008
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