Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
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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