Organization
SANKOFA PHARMACY
Active
Other names
EAST FALLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAY DEI (PHARMACY TECHNICIAN)
(267) 297-5427
Entity
Organization
Contact information
Practice address
3500 SUNNYSIDE AVE # 3508, PHILADELPHIA, PA 19129-1448
(267) 297-5427
(267) 331-8883
Mailing address
3500 SUNNYSIDE AVE # 3508, PHILADELPHIA, PA 19129-1448
(267) 297-5427
(267) 331-8883
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482561
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024748590001
—
PA
01
—
2152801
PK
—
Enumeration date
09/03/2015
Last updated
09/03/2015
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