Organization
PUBLIC DRUG RX LLC
Active
Other names
Public Drug
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK DAVAR (OWNER)
(610) 352-5015
Entity
Organization
Contact information
Practice address
6925 LUDLOW ST, UPPER DARBY, PA 19082-2304
(610) 352-5015
(610) 352-9107
Mailing address
6925 LUDLOW ST, UPPER DARBY, PA 19082-2304
(610) 352-5015
(610) 352-9107
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP410672L
PA
333600000X
Pharmacy
Primary
PP410672L
PA
3336C0003X
Community/Retail Pharmacy
PP410672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016269710001
—
PA
01
—
3947807
NCPDP
PA
Enumeration date
02/07/2007
Last updated
09/15/2024
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