Organization
HERBERT ENGELBERT
Active
Other names
5th St. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT LEVINE (MANAGER)
(215) 423-1368
Entity
Organization
Contact information
Practice address
2729 N 5TH ST, PHILADELPHIA, PA 19133-2702
(215) 423-1368
Mailing address
2729 N 5TH ST, PHILADELPHIA, PA 19133-2702
(215) 423-1368
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410620L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001944107
—
PA
01
—
3981809
NABP & NCPDP NUMBER
PA
Enumeration date
02/09/2007
Last updated
07/07/2008
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