Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Other names
Hospital of the University of Pennsylvania-Perelman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DEMERS (DIRECTOR OF PHARMACY)
(215) 662-2900
Entity
Organization
Contact information
Practice address
3400 CIVIC CENTER BLVD # 101W, PHILADELPHIA, PA 19104-5127
(215) 662-6260
(215) 243-2345
Mailing address
3400 CIVIC CENTER BLVD # 101W, PHILADELPHIA, PA 19104-5127
(215) 662-6260
(215) 243-2345
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125877
—
PA
01
—
2150466
PK
—
Enumeration date
03/06/2015
Last updated
03/30/2016
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