Organization
JFK MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIAN ABRAHAM R.PH. (PHARMACY MANAGER)
(215) 386-4708
Entity
Organization
Contact information
Practice address
3001 WALNUT ST FL 4, PHILADELPHIA, PA 19104-3414
(215) 386-4708
Mailing address
3001 WALNUT ST FL 4, PHILADELPHIA, PA 19104-3414
(215) 386-4708
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PP418375L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3965893
NCPDP
PA
Enumeration date
04/23/2007
Last updated
03/13/2008
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