Organization
3 SISTERS ENTERPRISE
Active
Other names
5 Star Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GIBILANTE R.PH. (PRESIDENT)
(215) 355-2004
Entity
Organization
Contact information
Practice address
209 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3833
(215) 355-2004
Mailing address
209 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482329
STATE LICENSE
PA
Enumeration date
12/27/2019
Last updated
12/27/2019
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