Organization
SMITHS PHARMACY II
Active
Other names
Smith's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LURA HAXHISTASA (PHARMACY MANAGER)
(215) 537-3000
Entity
Organization
Contact information
Practice address
841 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4800
(215) 537-3000
(215) 537-1550
Mailing address
841 E HUNTING PARK AVE, PHILADELPHIA, PA 19124-4800
(215) 537-3000
(215) 537-1550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482072
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025489700001
—
PA
01
—
3994969
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/03/2010
Last updated
09/11/2024
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