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Organization

NICE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDAL MATHEW POLICARE RPH (VICE PRESIDENT)
(215) 425-0100
Entity
Organization

Contact information

Practice address
110 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2207
(215) 425-0100
(215) 425-2524
Mailing address
110 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2207
(215) 425-0100
(215) 425-2524

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415588L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017694730001
PA
01
39-76581
NCPDP NUMBER
PA
01
PP-415588L
STATE PHARMACY #
PA
Enumeration date
01/20/2006
Last updated
03/07/2023
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