Organization
COMMUNITY PHARMACY SERVICES LLC
Active
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
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