Organization
RAPOPORT RX INC
Active
Other names
RAPOPORT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VENUGOPAL NARRAMNENI (PRESIDENT)
(215) 333-1566
Entity
Organization
Contact information
Practice address
6934 BUSTLETON AVE, PHILADELPHIA, PA 19149-1805
(215) 333-1566
(215) 333-8225
Mailing address
6934 BUSTLETON AVE, PHILADELPHIA, PA 19149-1805
(215) 333-1566
(215) 333-8225
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411960L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104075890-0001
—
PA
01
—
3958444
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
8094960001
MEDICARE NSC
PA
Enumeration date
12/04/2006
Last updated
12/08/2022
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