Wynnefield Pharmacy

LBN: Walnut Street Apothecary Inc
Wynnefield Pharmacy is an health care organization with primary practice located at 1901 N 54Th St , Philadelphia PA 19131-3221. 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. Walnut Street Apothecary Inc can be contacted via phone (215) 222-2400, or through Scota, Paul via phone (610) 247-4122.

Contact Information

Primary practice address
1901 N 54Th St Philadelphia PA 19131-3221
Phone: (215) 222-2400
Fax: (215) 222-2442
Website:
Map and Directions
Authorized official contact:
Name: Scota, Paul
Phone: (610) 247-4122

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482055 Pennsylvania

Profile Details

NPI number 1760798359
LBN Legal business name Walnut Street Apothecary Inc
DBA Doing business as Wynnefield Pharmacy
Authorized official Scota, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2010
Last updated Jul 8th, 2013 - about 13 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 1760798359 NPPES
Other 3994274 NCPDP PROVIDER IDENTIFICATION NUMBER

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