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Organization

TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA

Active
Other names
HOSPITAL UNIVERSITY OF PENNSYLVANIA OUTPATIENT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL PITCHFORD RPH (PCHY SUP)
(215) 662-2920
Entity
Organization

Contact information

Practice address
3400 SPRUCE ST, BASEMENT SILVERSTERN, PHILADELPHIA, PA 19104-4238
(215) 662-2920
(215) 349-8340
Mailing address
3400 SPRUCE ST, BASEMENT SILVERSTERN, PHILADELPHIA, PA 19104-4238
(215) 662-2920
(215) 349-8340

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
HP418209L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001258770210
PA
01
2081299
PK
Enumeration date
08/02/2006
Last updated
03/29/2016
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