Organization
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
Active
Other names
Penn Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE LEVANS (ASSOCIATE DIRECTOR)
(215) 796-2085
Entity
Organization
Contact information
Practice address
1 CONVENTION AVE STE 1323, PHILADELPHIA, PA 19104-4311
(267) 862-1600
Mailing address
3400 SPRUCE ST, GROUND RHODES, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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