Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Other names
GIRARD MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CROWLEY (DIRECTOR OF PHARMACY)
(215) 787-9359
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2460
(215) 787-2321
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2460
(215) 787-2321
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP418185L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007276960039
—
PA
01
—
3923047
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/05/2007
Last updated
08/03/2022
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