Organization
MTP RX LLC
Active
Other names
Medical Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO SELLECCHIA (MEMBER)
(215) 624-0919
Entity
Organization
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(215) 545-3525
(215) 732-7013
Mailing address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(215) 545-3525
(215) 732-7013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410793L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151977
PK
—
Enumeration date
01/15/2015
Last updated
06/07/2024
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