Organization
HEALTHFAVOR PHARMACY LLC
Active
Organization
HEALTHFAVOR PHARMACY LLC
Active
Other names
HealthFavor Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OSINAKACHI EGBUKWU (MANAGER)
(484) 461-9055
Entity
Organization
Contact information
Practice address
712 CHURCH LN, YEADON, PA 19050-3503
(484) 461-9055
(484) 461-9054
Mailing address
712 CHURCH LN, YEADON, PA 19050-3503
(484) 461-9055
(484) 461-9054
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025230500001
—
PA
01
—
2127291
PK
—
Enumeration date
07/12/2010
Last updated
10/04/2013
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