Organization
GENERAL HEALTH CARE
Active
Other names
general health care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE EASTWOOD MOORE SR. (PHARMACY TECH.)
(215) 991-6496
Entity
Organization
Contact information
Practice address
133 E DUVAL ST, PHILA, PA 19144-1923
(215) 991-6496
Mailing address
133 E DUVAL ST, PHILA, PA 19144-1923
(215) 991-6496
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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