Ellis Prescription Pharmacy

LBN: Walter Cwietniewicz
Ellis Prescription Pharmacy is an health care organization with primary practice located at 2441 Brown St , Philadelphia PA 19130-1931. 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. Walter Cwietniewicz can be contacted via phone (215) 765-1903, or through Cwietniewicz, Walter via phone (215) 765-1903.

Contact Information

Primary practice address
2441 Brown St Philadelphia PA 19130-1931
Phone: (215) 765-1903
Fax: (215) 236-6606
Website:
Map and Directions
Authorized official contact:
Name: Cwietniewicz, Walter BS
Phone: (215) 765-1903

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410688L Pennsylvania

Profile Details

NPI number 1841252772
LBN Legal business name Walter Cwietniewicz
DBA Doing business as Ellis Prescription Pharmacy
Authorized official Cwietniewicz, Walter BS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Mar 1st, 2017 - about 9 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 1841252772 NPPES
Other 2086924 PK
MEDICAID 1157371 PK

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