Organization
BT ENTERPRISES
Active
Other names
Farmacia
Organization subpart
No
Provider details
NPI number
Authorized official
BAO TRAN PHARMD (PRESIDENT)
(215) 465-1318
Entity
Organization
Contact information
Practice address
1530 W MOYAMENSING AVE, PHILADELPHIA, PA 19145-4927
(215) 465-1318
(215) 465-1319
Mailing address
1530 W MOYAMENSING AVE, PHILADELPHIA, PA 19145-4927
(215) 465-1318
(215) 465-1319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481942
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024216210001
—
PA
01
—
2122409
PK
—
Enumeration date
06/06/2009
Last updated
11/23/2015
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