Organization
SEDGLEY PLAZA PHARMACY INC
Active
Other names
Sedgley Plaza Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE BAKSH (OWNER/RPH)
(215) 978-0104
Entity
Organization
Contact information
Practice address
2917 RIDGE AVE, PHILADELPHIA, PA 19121-5215
(215) 978-0104
(215) 978-0106
Mailing address
2917 RIDGE AVE, PHILADELPHIA, PA 19121-5215
(215) 978-0104
(215) 978-0106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029290730001
—
PA
01
—
2145040
PK
—
Enumeration date
04/03/2014
Last updated
06/04/2025
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