Organization
EXTRACARE PHARMACY, INC.
Active
Organization
EXTRACARE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSINAKACHI EGBUKWU (PRESIDENT)
(484) 540-7917
Entity
Organization
Contact information
Practice address
670 CHURCH LANE, 1ST FLOOR FRONT, YEADON, PA 19050
(484) 540-7917
(484) 540-7913
Mailing address
670 CHURCH LANE, 1ST FLOOR FRONT, YEADON, PA 19050
(484) 540-7917
(484) 540-7913
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482470
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482470
PHARMACY
PA
Enumeration date
03/13/2014
Last updated
03/15/2022
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