Organization
WEST VILLAGE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAS KOSIK (PHARMACIST OWNER)
(215) 879-2520
Entity
Organization
Contact information
Practice address
3901 CONSHOHOCKEN AVE, PHILA, PA 19131-5430
(215) 879-2520
(215) 879-3590
Mailing address
3901 CONSHOHOCKEN AVE, PHILA, PA 19131-5430
(215) 879-2520
(215) 879-3590
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP413215L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0859342
—
PA
01
—
3923364
BNDD
—
Enumeration date
10/16/2006
Last updated
08/22/2020
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