Organization
PENNYMED PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHAL PATEL (PRESIDENT/OWNER)
(215) 915-6989
Entity
Organization
Contact information
Practice address
7956 DUNGAN RD, PHILADELPHIA, PA 19111-2737
(215) 437-9215
(215) 904-8654
Mailing address
PO BOX 429, LEVITTOWN, PA 19058-0429
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482716
PA PHARMACY LICENSE
PA
Enumeration date
04/11/2017
Last updated
04/11/2017
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