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11th Street Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. Organization (NPI-2).

NPI number1932570546
StatusActive
Last updated in NPPESOct 31, 2025

Details

NPI
1932570546
Entity type
Organization (NPI-2)
Legal business name
11th Street Pharmacy LLC
Organization subpart
Yes
Enumeration date
Oct 8, 2015
Certification date
Oct 31, 2025
Last updated
Oct 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy–PAYes
3336S0011X Pharmacy, Specialty Pharmacy––
333600000X Pharmacy–PA

Practice location

850 N 11th St Fl 1
Rm 148
Philadelphia, PA 19123-1957

Phone 215-769-2155 · Fax 267-793-0048

Mailing address

Po Box 3704
Philadelphia, PA 19125-0704

Phone 215-769-2155 · Fax 267-793-0048

Authorized official

Adam Accay
President
2155002223

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