Organization
DREAM PHARMACY LLC
Active
Other names
Dream Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREI MILENKI (DIRECTOR)
(215) 904-5548
Entity
Organization
Contact information
Practice address
9808 BUSTLETON AVE STE F, PHILADELPHIA, PA 19115-2190
(215) 904-5548
(215) 904-5947
Mailing address
9808 BUSTLETON AVE STE F, PHILADELPHIA, PA 19115-2190
(215) 904-5548
(215) 904-5947
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031007460001
—
PA
01
—
2159832
PK
—
Enumeration date
04/27/2016
Last updated
11/07/2017
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