Organization
COMMUNITY PHARMACY SERVICES LLC
Active
Other names
GPHA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA CHIRRA (CHIEF OPERATING OFFICER)
(484) 494-8212
Entity
Organization
Contact information
Practice address
5501 WOODLAND AVE, PHILADELPHIA, PA 19143-5607
(215) 729-3912
(215) 729-3916
Mailing address
5501 WOODLAND AVE, SUITE 201, PHILADELPHIA, PA 19143-5607
(215) 729-3912
(215) 729-3916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482146
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132942
PK
—
Enumeration date
11/15/2011
Last updated
11/05/2014
About Stedi
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