Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Other names
GREATER PHILADELPHIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CKARK (CEO)
(215) 925-2400
Entity
Organization
Contact information
Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 789-6931
(267) 457-2079
Mailing address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 789-6931
(267) 457-2079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482682
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165755
PK
—
Enumeration date
10/21/2016
Last updated
09/09/2024
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