Girard Avenue Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. Organization (NPI-2).
NPI number1487967980
StatusActive
Last updated in NPPESFeb 9, 2012
Details
- NPI
- 1487967980
- Entity type
- Organization (NPI-2)
- Legal business name
- Girard Avenue Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Feb 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP482036 | PA | Yes |
| 333600000X | Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | pp482036 | PA |
Other names
- Girard Ave Pharmacy (Doing Business As)
Practice location
1348-50 W Girard AvePhiladelphia, PA 19123
Phone 215-236-1210 · Fax 215-236-1080
Mailing address
1348-50 W Girard AvePhiladelphia, PA 19123
Phone 215-236-1210 · Fax 215-236-1080
Authorized official
Francis Byron
Owner
2152397003
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