Organization
JAFFES DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN MANDELL RPH (PRESIDENT)
(215) 483-0900
Entity
Organization
Contact information
Practice address
7150 RIDGE AVE, PHILADELPHIA, PA 19128-3250
(215) 483-0900
(215) 483-7625
Mailing address
7150 RIDGE AVE, PHILADELPHIA, PA 19128-3250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP411144L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005758780001
—
PA
01
—
3904883
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
09/11/2025
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