Organization
CASTOR PHARMACY & SURGICAL SUPPLIES LLC
Active
Other names
Castor Pharmacy & Surgical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MONAHAN PHARMD (VICE PRESIDENT/PHARMACY MGR)
(267) 269-7890
Entity
Organization
Contact information
Practice address
6449 CASTOR AVE, PHILADELPHIA, PA 19149-2738
(267) 233-1758
Mailing address
6449 CASTOR AVE, PHILADELPHIA, PA 19149-2738
(267) 233-1758
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3995454
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2011
Last updated
06/30/2016
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