Organization
EDISON SQUARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J URBAN III (MANAGER)
(267) 687-2085
Entity
Organization
Contact information
Practice address
701 W LEHIGH AVE, PHILADELPHIA, PA 19133-2233
(267) 687-2085
Mailing address
701 W LEHIGH AVE, PHILADELPHIA, PA 19133-2233
(267) 687-2085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482552
PA
Other
Enumeration date
05/08/2015
Last updated
07/04/2015
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