Organization
FRONT ST PHARMACY LLC
Active
Other names
Front Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BULENT YAVAS (OWNER/MANAGING MEMBER)
(215) 960-4444
Entity
Organization
Contact information
Practice address
4823 N FRONT ST, PHILADELPHIA, PA 19120-4213
(215) 960-4444
(215) 960-4445
Mailing address
4823 N FRONT ST, PHILADELPHIA, PA 19120-4213
(215) 960-4444
(215) 960-4445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026884070001
—
PA
01
—
2133435
PK
—
Enumeration date
07/05/2011
Last updated
03/28/2016
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