Organization
INDEPENDENT PHARMACIES INCORPORATED
Active
Other names
Centennial pharmacy southphilly
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DYMOWSKI (OWNER/PRESIDENT)
(215) 468-2111
Entity
Organization
Contact information
Practice address
2036-38 SOUTH 3RD STREET, PHILADELPHIA, PA 19148
(215) 468-2111
(215) 468-0387
Mailing address
PO BOX 37544, PHILADELPHIA, PA 19148-7544
(215) 468-2111
(215) 468-0387
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023943640001
—
PA
01
—
2122483
PK
—
Enumeration date
11/11/2009
Last updated
01/07/2021
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