Organization
PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #1
Active
Other names
HEALTH CENTER #1 PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY T. PENDER RPH (DIRECTOR OF PHARMACEUTICAL SERVICES)
(215) 685-6864
Entity
Organization
Contact information
Practice address
500 S. BROAD STREET, PHARMACY, PHILADELPHIA, PA 19146
(215) 685-6513
(215) 790-1651
Mailing address
500 S. BROAD STREET, PHARMACY/BASEMENT, PHILADELPHIA, PA 19146
(215) 685-6864
(215) 790-1651
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PP481593
PA
3336I0012X
Institutional Pharmacy
—
PA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000076950093
—
PA
01
—
2081751
PK
—
Enumeration date
12/01/2006
Last updated
03/07/2019
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