Organization
NOVA STAR PHARMACY INC
Active
Other names
NOVA STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GOLEMI (PRESIDENT/CEO)
(267) 992-2765
Entity
Organization
Contact information
Practice address
301 E GIRARD AVE, PHILADELPHIA, PA 19125-3918
(215) 739-3900
(215) 739-3903
Mailing address
301 E GIRARD AVE, PHILADELPHIA, PA 19125-3918
(215) 739-3900
(215) 739-3903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482352
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028087660001
—
PA
01
—
2137677
PK
—
Enumeration date
11/02/2012
Last updated
11/29/2016
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