Organization
CSP PHARMACY INC
Active
Other names
Good Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CHIRANJIVI BHARATH JANNU (OWNER)
(813) 874-2900
Entity
Organization
Contact information
Practice address
2224 W 9TH ST, CHESTER, PA 19013-2402
(610) 497-1015
(610) 494-4721
Mailing address
2224 W 9TH ST, CHESTER, PA 19013-2402
(610) 497-1081
(610) 494-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629452974
—
PA
01
—
2153107
PK
—
Enumeration date
07/16/2015
Last updated
01/14/2022
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