Organization
PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Active
Other names
Penn Medicine University City Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RUSSELL (ASSOCIATE EXECUTIVE DIRECTOR/COO)
(215) 662-9108
Entity
Organization
Contact information
Practice address
3737 MARKET STREET GROUND FLOOR, PHILADELPHIA, PA 19104
(215) 294-9393
(215) 222-8838
Mailing address
51 N 39TH STREET, CUPP BASEMENT PHARMACY, PHILADELPHIA, PA 19104
(215) 662-8213
(215) 243-4644
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007297070032
—
PA
Enumeration date
05/20/2022
Last updated
05/20/2022
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