Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Other names
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PERELMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE LEVANS (ASSOCIATE DIRECTOR)
(215) 796-2085
Entity
Organization
Contact information
Practice address
3400 CIVIC CENTER BLVD # 101W, PHILADELPHIA, PA 19104-5127
(215) 662-6260
Mailing address
3400 CIVIC CENTER BLVD # 101W, PHILADELPHIA, PA 19104-5127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001258770288
—
PA
Enumeration date
08/19/2021
Last updated
08/19/2021
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