Organization
CHRISTIAN ST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME P WHACK RPH (PHARMACIST)
(215) 545-3582
Entity
Organization
Contact information
Practice address
1947 CHRISTIAN STREET, PHILADELPHIA, PA 19146
(215) 545-3582
(215) 545-3583
Mailing address
1947 CHRISTIAN STREET, PHILADELPHIA, PA 19146
(215) 545-3582
(215) 545-3583
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP412075L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009865140002
—
PA
01
—
3948203
NABP
PA
Enumeration date
04/17/2007
Last updated
08/22/2020
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