Organization
DELAWARE VALLEY COMMUNITY HEALTH, INC.
Active
Other names
Maria Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ROBLES COOKE (PRESIDENT & CEO)
(215) 684-5344
Entity
Organization
Contact information
Practice address
401 W ALLEGHENY AVE STE 200, PHILADELPHIA, PA 19133-3644
(215) 207-0528
(267) 758-6205
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10077299600037
—
PA
Enumeration date
04/03/2025
Last updated
03/05/2026
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