Organization
GIRARD AVENUE PHARMACY INC
Active
Other names
girard ave pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS BYRON RPH (OWNER)
(215) 239-7003
Entity
Organization
Contact information
Practice address
1348-50 W GIRARD AVE, PHILADELPHIA, PA 19123
(215) 236-1210
(215) 236-1080
Mailing address
1348-50 W GIRARD AVE, PHILADELPHIA, PA 19123
(215) 236-1210
(215) 236-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP482036
PA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024864750001
—
PA
01
—
3994185
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/26/2010
Last updated
02/09/2012
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