Organization
PACKER APOTHECARY
Active
Other names
Packer Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PAUZANO (MANANGER)
(267) 266-9270
Entity
Organization
Contact information
Practice address
1532 PACKER AVE, PHILADELPHIA, PA 19145-5407
(267) 909-9814
Mailing address
1532 PACKER AVE, PHILADELPHIA, PA 19145-5407
(267) 909-9214
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482031
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3994173
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/27/2010
Last updated
02/29/2016
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