Brewerytown Rx INC
Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. Organization (NPI-2).
NPI number1881997336
StatusActive
Last updated in NPPESJul 6, 2017
Details
- NPI
- 1881997336
- Entity type
- Organization (NPI-2)
- Legal business name
- Brewerytown Rx INC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2010
- Last updated
- Jul 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP482063 | PA | Yes |
Practice location
2621 W Girard AvePhiladelphia, PA 19130-1333
Phone 267-773-8349
Mailing address
2621 W Girard AvePhiladelphia, PA 19130-1333
Phone 267-773-8349
Authorized official
Justice E.K. Hagan
Pharmacy Manager
2677738349
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