Organization
ACH PHARMA INC
Active
Other names
WYNNEFIELD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANTH SAMBARAJU (PRESIDENT)
(267) 353-8159
Entity
Organization
Contact information
Practice address
2230 BRYN MAWR AVE, PHILADELPHIA, PA 19131-2308
(267) 353-8159
(267) 353-8177
Mailing address
2230 BRYN MAWR AVE, PHILADELPHIA, PA 19131-2308
(267) 353-8159
(267) 353-8177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482396
PA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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