Organization
PRIME HEALTH PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONYINYECHI EZEUGO PHARM.D (PHARMACIST)
(267) 331-5490
Entity
Organization
Contact information
Practice address
1514 WADSWORTH AVE, PHILADELPHIA, PA 19150
(610) 400-4233
Mailing address
1514 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1616
(267) 331-5490
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
PA
Other
Enumeration date
12/04/2017
Last updated
11/13/2019
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