Organization
KEWAN PHARMACY
Active
Organization
KEWAN PHARMACY
Active
Other names
KEWAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
UYAI ETIESE MARKSON (MEMBER)
(215) 929-1354
Entity
Organization
Contact information
Practice address
5656 CHEW AVE, PHILADELPHIA, PA 19138-1742
(215) 929-1361
(267) 385-6906
Mailing address
5656 CHEW AVE, PHILADELPHIA, PA 19138-1742
(215) 929-1361
(267) 385-6906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482096
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3994743
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/23/2010
Last updated
03/04/2020
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