<Unavail>

LBN: Thomas J Betteridge
<Unavail> is an health care organization with primary practice located at 2065 Snyder Ave , Philadelphia PA 19145-2811. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thomas J Betteridge can be contacted via phone (215) 334-4477, or through Betteridge, Thomas via phone (215) 334-4477.

Contact Information

Primary practice address
2065 Snyder Ave Philadelphia PA 19145-2811
Phone: (215) 334-4477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Betteridge, Thomas
Phone: (215) 334-4477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP412139L Pennsylvania

Profile Details

NPI number 1679572887
LBN Legal business name Thomas J Betteridge
DBA Doing business as <Unavail>
Authorized official Betteridge, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 23rd, 2016 - about 10 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 1679572887 NPPES
Pennsylvania MEDICAID 19145841901
Pennsylvania Other 2082127

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