Organization
CENTENNIAL PHARMACY SERVICES INCORPORATED
Active
Other names
centennial Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DYMOWSKI PHARM D. (CEO / PHARMACIST)
(267) 324-5025
Entity
Organization
Contact information
Practice address
1020 N DELAWARE AVE STE 200, PHILADELPHIA, PA 19125-4334
(267) 534-5025
(267) 324-5418
Mailing address
1020 N DELAWARE AVE STE 200, PHILADELPHIA, PA 19125-4334
(215) 850-5701
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035739960001
—
PA
Enumeration date
07/01/2019
Last updated
07/01/2019
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