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
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