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Organization

FRONT ST PHARMACY LLC

Active
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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
Update your record

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