Organization
JAYS HUNTING PARK PHARMACY LLC
Active
Other names
Jay's Hunting Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD MACKLIN (PRESIDENT/PHARMACIST)
(215) 410-4545
Entity
Organization
Contact information
Practice address
2001 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2813
(215) 226-0140
(215) 226-2520
Mailing address
2001 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2813
(215) 410-4545
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP482639
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159141
PK
—
Enumeration date
04/15/2016
Last updated
05/13/2016
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