Organization
RUDI PHARMACY INC
Active
Other names
PHILADELPHIAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RUDOLPH PHARMACIST (OWNER MANAGER)
(215) 232-0533
Entity
Organization
Contact information
Practice address
2401 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3010
(215) 232-0533
(215) 232-1927
Mailing address
2401 PENNSYLVANIA AVE, PHILADELPHIA, PA 19130-3010
(215) 232-0533
(215) 232-1927
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415530L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013136750001
—
PA
01
—
3984223
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/14/2006
Last updated
08/11/2011
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