Organization
THOMAS J BETTERIDGE
Active
Organization
THOMAS J BETTERIDGE
Active
Other names
ROSICA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BETTERIDGE (PROPRIETOR)
(215) 334-4477
Entity
Organization
Contact information
Practice address
2065 SNYDER AVE, PHILADELPHIA, PA 19145-2811
(215) 334-4477
Mailing address
2065 SNYDER AVE, PHILADELPHIA, PA 19145-2811
(215) 334-4477
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412139L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19145841901
—
PA
01
—
2082127
PK
—
Enumeration date
07/19/2005
Last updated
11/23/2016
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