Organization
UPPER DARBY FAMILY PHARMACY LLC
Active
Organization
UPPER DARBY FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANH NGUYEN RPH (PRESIDENT)
(610) 352-2121
Entity
Organization
Contact information
Practice address
6756 MARKET ST, UPPER DARBY, PA 19082-2432
(610) 352-2121
(610) 352-2204
Mailing address
6756 MARKET ST, UPPER DARBY, PA 19082-2432
(610) 352-2121
(610) 352-2204
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482231
PHARMACY LICENSE
PA
Enumeration date
11/18/2011
Last updated
09/11/2012
Update your record
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