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NPI Code Detail

MEDICARE: BLESSED PHARMACY

MEDICARE: BLESSED PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacyPP482074PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13994731OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1255633319
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLESSED PHARMACY
Provider Business Mailing Address
First Line : BLESSED PHARMACY
Second Line : PO BOX 5642
City : PHILADELPHIA
State : PA
Zip : 19129
Country : US
Telephone Number : 215-765-2983
Fax Number : 215-765-2984
Provider Business Practice Location Address
First Line : 2826 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-1238
Country : US
Telephone Number : 215-765-2983
Fax Number : 215-765-2984
Authorized Official
Title or Position : DIRECOR
Name : CHRISTIANA ONU
Credential :
Telephone Number : 215-380-9508
Provider Enumeration Date : 11/23/2010
Last Update Date : 11/23/2010

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Directions to “BLESSED PHARMACY ” Practice Location

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