<Unavail>

LBN: Four Star Pharmacy Ii Llc
<Unavail> is an health care organization with primary practice located at 6542 Lebanon Ave , Philadelphia PA 19151-3328. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Four Star Pharmacy Ii Llc can be contacted via phone (215) 877-2400, or through Adewale, Iyabode Leah via phone (215) 877-2400.

Contact Information

Primary practice address
6542 Lebanon Ave Philadelphia PA 19151-3328
Phone: (215) 877-2400
Fax: (215) 877-2403
Website:
Map and Directions
Authorized official contact:
Name: Adewale, Iyabode Leah PHARM.D
Phone: (215) 877-2400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482266 Pennsylvania

Profile Details

NPI number 1598023400
LBN Legal business name Four Star Pharmacy Ii Llc
DBA Doing business as <Unavail>
Authorized official Adewale, Iyabode Leah PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2012
Last updated Jan 8th, 2025 - about last year

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 1598023400 NPPES
Pennsylvania MEDICAID 1027396500001
Pennsylvania Other 2135081

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