Organization
FORD PHARMACY LLC
Active
Other names
ford pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNNY OMESIETE (MANAGER)
(215) 433-2569
Entity
Organization
Contact information
Practice address
3217 WILLITS RD STE C, PHILADELPHIA, PA 19114-3828
(215) 544-5555
(215) 544-5556
Mailing address
3217 WILLITS RD STE C, PHILADELPHIA, PA 19114-3828
(215) 544-5555
(215) 544-5556
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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