Organization
DHANYABAPA LLC
Active
Other names
E-Z PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDABEN PATEL (MEMBER)
(215) 728-6300
Entity
Organization
Contact information
Practice address
1701 COTTMAN AVE, PHILADELPHIA, PA 19111-3802
(215) 728-6300
(215) 728-6302
Mailing address
1701 COTTMAN AVE, PHILADELPHIA, PA 19111-3802
(215) 728-6300
(215) 728-6302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PP482001
PA
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028201990001
—
PA
01
—
2140123
PK
—
Enumeration date
02/06/2010
Last updated
04/06/2017
Update your record
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