Organization
SANKOFA PHARMACY INC
Active
Other names
Sankofa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI GBOMITA (OWNER/PIC)
(267) 664-2388
Entity
Organization
Contact information
Practice address
7223 RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(215) 268-3426
(215) 904-5973
Mailing address
7223 RISING SUN AVE, PHILADELPHIA, PA 19111-3926
(215) 268-3426
(215) 904-5973
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125563
PK
—
Enumeration date
06/15/2010
Last updated
04/01/2016
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