Organization
CLEMENS MARKET INC
Active
Other names
RALPHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SHAPIRO (DIR OF PHARMACY)
(215) 361-9000
Entity
Organization
Contact information
Practice address
10 E RIDGE PIKE, CONSHOHOCKEN, PA 19428-2117
(610) 825-3784
(610) 825-7949
Mailing address
10 E RIDGE PIKE, CONSHOHOCKEN, PA 19428-2117
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410654L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537067
—
PA
01
—
3914276
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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