Organization
MEDICAL TOWER PHARMACY INC
Active
Other names
MEDICAL TOWER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL B HELLER RPH (PHARMACIST MANAGER)
(215) 545-3525
Entity
Organization
Contact information
Practice address
255 S 17TH ST, GROUND FLOOR, PHILA, PA 19103-6231
(215) 545-3525
(215) 732-7013
Mailing address
255 S 17TH ST, GROUND FLOOR, PHILA, PA 19103-6231
(215) 545-3525
(215) 732-7013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410793L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010724800001
—
PA
01
—
PP410793L
STATE LICENSE
PA
Enumeration date
07/04/2006
Last updated
03/07/2023
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