Organization
WASHINGTON SQUARE PHARMACY INC
Active
Other names
WASHINGTON SQUARE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD VOLGRAF RPH (PRESIDENT)
(215) 925-1466
Entity
Organization
Contact information
Practice address
241 S 6TH ST, PHILADELPHIA, PA 19106-3727
(215) 925-1466
(215) 829-0820
Mailing address
241 S 6TH ST, PHILADELPHIA, PA 19106-3727
(215) 925-1466
(215) 829-0820
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411092L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000528970002
—
PA
01
—
2079798
PK
—
Enumeration date
02/11/2006
Last updated
12/29/2015
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