Department Of Military Affairs Commonwealth Of Pennsylvania
Pharmacy, Long Term Care Pharmacy in Philadelphia, PA. Organization (NPI-2).
NPI number1114282191
StatusActive
Last updated in NPPESMay 24, 2022
Details
- NPI
- 1114282191
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Military Affairs Commonwealth Of Pennsylvania
- Organization subpart
- No
- Enumeration date
- Jul 6, 2012
- Certification date
- May 24, 2022
- Last updated
- May 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | PP481847 | PA |
Other names
- Delaware Valley Veterns Home Pharmacy (Doing Business As)
Practice location
2701 Southampton RdPhiladelphia, PA 19154-1205
Phone 215-965-5900
Mailing address
2701 Southampton RdPhiladelphia, PA 19154-1205
Authorized official
Thomas Reed
Fiscal Services Administrator
8142427789
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