Organization
PROJECT HOME
Active
Other names
Project HOME Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA P MEDINA MCCURDY (VICE-PRESIDENT, HEALTHCARE SERVICES)
(215) 320-6187
Entity
Organization
Contact information
Practice address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 309-5223
(215) 763-0128
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 309-5223
(215) 763-0128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482643
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159790
PK
—
Enumeration date
08/07/2015
Last updated
01/09/2020
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