Organization
HENDRIX PHARMACY INC
Active
Other names
Hendrix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KOGAN B.S. (PHARMACIST)
(215) 969-3900
Entity
Organization
Contact information
Practice address
11685 BUSTLETON AVE, PHILADELPHIA, PA 19116-2542
(215) 969-3900
(215) 969-3939
Mailing address
11685 BUSTLETON AVE, PHILADELPHIA, PA 19116-2542
(215) 969-3900
(215) 969-3939
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130086
PK
—
Enumeration date
04/26/2011
Last updated
11/29/2016
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