Organization
PHILADELPHIA PROFESSIONAL COMPOUNDING PHARMACY LLC
Active
Other names
PPC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CAVANAUGH BS IN PHARMACY (PARTNER)
(215) 605-9211
Entity
Organization
Contact information
Practice address
23 S YORK RD FRNT, HATBORO, PA 19040-3231
(215) 672-8552
(215) 672-8555
Mailing address
23 S YORK RD FRNT, HATBORO, PA 19040-3231
(215) 672-8552
(215) 672-8555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481799
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3990391
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/22/2008
Last updated
05/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us