Organization
FOUR STAR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KWAME OPPONG PHARM.D (PHARMACY MANAGER)
(215) 365-1088
Entity
Organization
Contact information
Practice address
7028 ELMWOOD AVE, PHILADELPHIA, PA 19142-1722
(215) 365-1088
(215) 365-1699
Mailing address
7028 ELMWOOD AVE, PHILADELPHIA, PA 19142-1722
(215) 365-1088
(215) 365-1699
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482087
PA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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