Organization
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Active
Parent organization
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Other names
Penn-Presbyterian Med Ctr Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Authorized official
MR. ROBERT JOHN RUSSELL JR. (ASSOCIATE EXECUTIVE DIRECTOR)
(215) 662-9108
Entity
Organization
Contact information
Practice address
51 N 39TH STREET, MEDICAL OFFICE BLDG, PHILADELPHIA, PA 19104
(215) 662-9494
(215) 243-4681
Mailing address
39TH & MARKET STREETS, DEPARTMENT OF PHARMACY, PHILA, PA 19104-2640
(215) 662-9494
(215) 243-4681
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
PP481327
PA
333600000X
Pharmacy
Primary
PP481327
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070028
—
PA
Enumeration date
10/27/2006
Last updated
07/02/2019
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