Organization
FALLS DRUG STORE
Active
Organization
FALLS DRUG STORE
Active
Other names
Falls Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
BETH DEWAN (OWNER)
(267) 331-5421
Entity
Organization
Contact information
Practice address
3300 HENRY AVE STE 103, PHILADELPHIA, PA 19129-1121
(267) 331-5421
(267) 331-5418
Mailing address
3300 HENRY AVE, SUITE 103, PHILADELPHIA, PA 19129-1121
(267) 331-5421
(267) 331-5418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP487141
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3995531
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/25/2011
Last updated
05/25/2011
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