Organization
COMMUNITY CARE RX LTC LLC
Active
Other names
COMMUNITY CARE RX LTC
Organization subpart
No
Provider details
NPI number
Authorized official
YANA PEKAREVA (OWNER)
(267) 255-2116
Entity
Organization
Contact information
Practice address
7601 CASTOR AVE STE 201, PHILADELPHIA, PA 19152-4026
(215) 722-2500
(215) 722-7700
Mailing address
7601 CASTOR AVE STE 201, PHILADELPHIA, PA 19152-4026
(215) 722-2500
(215) 722-7700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP482773
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170894
PK
—
Enumeration date
08/03/2017
Last updated
02/13/2019
Update your record
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