Philly Pharmacy

LBN: Philly Pharmacy Ii, Llc
Philly Pharmacy is an health care organization with primary practice located at 9475 Roosevelt Blvd Ste 12 , Philadelphia PA 19114-2212. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Philly Pharmacy Ii, Llc can be contacted via phone (215) 625-6668, or through Garcia, Edward via phone (215) 969-5180.

Contact Information

Primary practice address
9475 Roosevelt Blvd Ste 12 Philadelphia PA 19114-2212
Phone: (215) 625-6668
Fax: (866) 379-3198
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Edward
Phone: (215) 969-5180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP482144 Pennsylvania
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1972896173
LBN Legal business name Philly Pharmacy Ii, Llc
DBA Doing business as Philly Pharmacy
Authorized official Garcia, Edward
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2011
Last updated May 20th, 2011 - about 15 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 1972896173 NPPES
Other 3995480 NCPDP PROVIDER IDENTIFICATION NUMBER

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