Organization
BROAD & LEHIGH PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA NTEFO (PRESIDENT)
(215) 228-9007
Entity
Organization
Contact information
Practice address
1300 W LEHIGH AVE, SUITE 102, PHILADELPHIA, PA 19132-2701
(215) 228-9007
(215) 228-9099
Mailing address
1300 W LEHIGH AVE, SUITE 102, PHILADELPHIA, PA 19132-2701
(215) 228-9007
(215) 228-9099
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP415177L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015875230001
—
PA
05
—
001587523003
—
PA
Enumeration date
06/10/2005
Last updated
05/14/2025
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