Organization
TJU HOSPITALS, INC
Active
Other names
Jefferson Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE MCCANEY RPH (PHARMACY MANAGER)
(215) 955-8845
Entity
Organization
Contact information
Practice address
111 S 11TH ST, GIBBON BLDG SUITE 1850, PHILADELPHIA, PA 19107
(215) 955-8845
(215) 955-1711
Mailing address
111 S 11TH ST, GIBBON BLDG SUITE 1850, PHILADELPHIA, PA 19107
(215) 955-8845
(215) 955-1711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP413308L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10075085400011
—
PA
Enumeration date
10/16/2006
Last updated
06/18/2008
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