Organization
GLENDALE PRESCRIPTION CENTER INC
Active
Organization
GLENDALE PRESCRIPTION CENTER INC
Active
Other names
GLENDALE PRESCRIPTION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE TAMMARA BS (PHARMACIST OWNER)
(215) 722-6200
Entity
Organization
Contact information
Practice address
7601 CASTOR AVE, STE 100 LOBBY, PHILADELPHIA, PA 19152-4026
(215) 722-6200
(215) 722-6211
Mailing address
7601 CASTOR AVE, STE 100 LOBBY, PHILADELPHIA, PA 19152-4026
(215) 722-6200
(215) 722-6211
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481117
PA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018827750002
—
PA
01
—
2085890
PK
—
Enumeration date
06/16/2005
Last updated
08/04/2016
Update your record
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