Organization
SUBURBAN BUSTLETON PHARMACY INC.
Active
Organization
SUBURBAN BUSTLETON PHARMACY INC.
Active
Other names
Suburban Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE DZIERZA (OWNER)
(215) 673-0994
Entity
Organization
Contact information
Practice address
10875 BUSTLETON AVENUE, PHILADELPHIA, PA 19116-3301
(215) 673-0994
(215) 969-6176
Mailing address
10875 BUSTLETON AVE, PHILADELPHIA, PA 19116-3301
(215) 673-0994
(215) 969-6176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP412433L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP412433L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014348470001
—
PA
Enumeration date
12/05/2006
Last updated
01/21/2026
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