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Organization

JUST HERE III

Active
Other names
BUSTLETON PHARMACY AND MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KWABENA ASAFO BOAKYE PHARM. D. (PHARMACIST/CO-OWNER)
(267) 250-3151
Entity
Organization

Contact information

Practice address
7923A BUSTLETON AVE., PHILADELPHIA, PA 19152
(215) 821-3524
Mailing address
7923A BUSTLETON AVE., PHILADELPHIA, PA 19152
(215) 821-3524

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482414
PA

Other

Enumeration date
07/31/2014
Last updated
07/31/2014
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