Organization
FISHTOWN PHARMACY LLC
Active
Organization
FISHTOWN PHARMACY LLC
Active
Other names
fishtown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BINTA PATEL PHARMD (OWNER)
(267) 687-7562
Entity
Organization
Contact information
Practice address
1802 FRANKFORD AVE, PHILADELPHIA, PA 19125-2403
(267) 687-7562
Mailing address
1802 FRANKFORD AVE, PHILADELPHIA, PA 19125-2403
(267) 687-7562
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482316
PA
3336C0004X
Compounding Pharmacy
PP482316
PA
3336S0011X
Specialty Pharmacy
PP482316
PA
Other
Enumeration date
12/11/2012
Last updated
11/30/2016
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