Organization
RAVIM PHARMACEUTICALS
Active
Other names
West Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
UMAMAHESWAR SIRIPURAPU (OWNER)
(804) 586-6959
Entity
Organization
Contact information
Practice address
5259 RODMAN ST, PHILADELPHIA, PA 19143-1528
(215) 921-9346
(215) 921-9337
Mailing address
5259 RODMAN ST, PHILADELPHIA, PA 19143-1528
(215) 921-9346
(215) 921-9337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PP482695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032363970001
—
PA
01
—
2163708
PK
—
Enumeration date
08/18/2016
Last updated
08/10/2022
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