Organization
GHANSHYAM HEALTHCARE INC
Active
Other names
APOLLO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITESHKUMAR PATEL (PRESIDENT)
(215) 426-5100
Entity
Organization
Contact information
Practice address
460 W LEHIGH AVE, PHILADELPHIA, PA 19133-3135
(215) 426-5100
Mailing address
460 W LEHIGH AVE, PHILADELPHIA, PA 19133-3135
(215) 426-5100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482667
PENNSYLVANIA STATE BOARD OF PHARMACY
PA
Enumeration date
07/21/2016
Last updated
09/14/2016
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