Organization
BRIDESBURG PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHENAY USSEIN PHARMD (PHARMACIST)
(215) 744-2277
Entity
Organization
Contact information
Practice address
2608 ORTHODOX ST, PHILADELPHIA, PA 19137-1627
(215) 744-2277
(215) 744-2287
Mailing address
2608 ORTHODOX ST, PHILADELPHIA, PA 19137-1627
(215) 744-2277
(215) 744-2287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
PHARMACIST LICENSE
—
Enumeration date
05/21/2013
Last updated
12/19/2013
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