Christian St Pharmacy

LBN: Christian St Pharmacy
Christian St Pharmacy is an health care organization with primary practice located at 1947 Christian Street , Philadelphia PA 19146. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Christian St Pharmacy can be contacted via phone (215) 545-3582, or through Whack, Jerome P via phone (215) 545-3582.

Contact Information

Primary practice address
1947 Christian Street Philadelphia PA 19146
Phone: (215) 545-3582
Fax: (215) 545-3583
Website:
Map and Directions
Authorized official contact:
Name: Whack, Jerome P RPH
Phone: (215) 545-3582

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP412075L Pennsylvania

Profile Details

NPI number 1558587030
LBN Legal business name Christian St Pharmacy
DBA Doing business as
Authorized official Whack, Jerome P RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558587030 NPPES
Pennsylvania MEDICAID 0009865140002
Pennsylvania Other 3948203

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