Organization
CENTER PHARMACY OF ERIE AVE., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP M LUBAROFF R.PH. (PRESIDENT)
(215) 225-0998
Entity
Organization
Contact information
Practice address
516 W ERIE AVE, PHILADELPHIA, PA 19140-4535
(215) 225-0998
(215) 225-2781
Mailing address
516 W ERIE AVE, PHILADELPHIA, PA 19140-4535
(215) 225-0998
(215) 225-2781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP410568L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410568L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009311780001
—
PA
Enumeration date
01/16/2007
Last updated
09/02/2016
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