Organization
JUST HERE III
Active
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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