Fairmount Pharmacy Services LLC
Pharmacy, Long Term Care Pharmacy in Philadelphia, PA. Organization (NPI-2).
NPI number1295824845
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1295824845
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairmount Pharmacy Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | PP481626 | PA | Yes |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Fairmount Pharmacy Services LLC (Doing Business As)
Practice location
1900 Green StSuite 2f
Philadelphia, PA 19130-3207
Phone 215-564-9300 · Fax 215-567-1931
Mailing address
1900 Green StSuite 2f
Philadelphia, PA 19130-3207
Phone 215-564-9300 · Fax 215-567-1931
Authorized official
Gerard Volgraf
Member LLC Pharmacist
2156200019
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