Organization
APPRAISED LLC
Active
Other names
Shop and Carry Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JITTU GEORGE (OWNER)
(215) 779-9378
Entity
Organization
Contact information
Practice address
1301 LINDLEY AVE, PHILADELPHIA, PA 19141-2747
(267) 297-5030
(267) 297-5783
Mailing address
1301 LINDLEY AVE, PHILADELPHIA, PA 19141-2747
(267) 297-5030
(267) 297-5783
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030004280001
—
PA
01
—
2149727
PK
—
Enumeration date
01/20/2015
Last updated
09/15/2023
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