Organization
GOLDS PHARMACY INC
Active
Other names
Gold's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN LESSA (PHARMACY MANAGER)
(215) 879-4653
Entity
Organization
Contact information
Practice address
7543 HAVERFORD AVE, PHILADELPHIA, PA 19151-2226
(215) 879-4653
(215) 878-4600
Mailing address
7543 HAVERFORD AVE, PHILADELPHIA, PA 19151-2226
(215) 879-4653
(215) 879-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482609
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030687740001
—
PA
01
—
2156159
PK
—
Enumeration date
12/22/2015
Last updated
02/10/2016
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