Organization
B. KUCHEROVSKY, INC
Active
Other names
Summerdale Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRONISLAVA KUCHEROVSKY (OWNER)
(215) 743-6349
Entity
Organization
Contact information
Practice address
900 E SANGER ST, PHILADELPHIA, PA 19124-1034
(215) 743-6349
(215) 533-8504
Mailing address
900 E SANGER ST, PHILADELPHIA, PA 19124-1034
(215) 743-6349
(215) 533-8504
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411367L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18420090001
—
PA
Enumeration date
02/13/2007
Last updated
06/09/2015
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