Organization
JEEMI INC
Active
Other names
DAVIS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIOT WEINBERG (MANAGER)
(215) 222-3349
Entity
Organization
Contact information
Practice address
4523 BALTIMORE AVE, PHILADELPHIA, PA 19143-2145
(215) 222-3349
(215) 222-4044
Mailing address
4523 BALTIMORE AVE, PHILADELPHIA, PA 19143-2145
(215) 222-3349
(215) 222-4044
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410555L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102506
—
PA
01
—
2086358
PK
—
Enumeration date
09/20/2005
Last updated
09/26/2016
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