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NPI Code Detail

MEDICARE: PENN-PRESBYTERIAN APOTHECARY

MEDICARE: PENN-PRESBYTERIAN APOTHECARY
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
13336C0003XCommunity/Retail PharmacyPP481640PA

General Provider Information

NPI Number : 1760624944
Entity Type Code : Organization
Provider Name (Legal Business Name) : PENN-PRESBYTERIAN APOTHECARY
Provider Business Mailing Address
First Line : 3910 N POWELTON AVE
Second Line : FIRST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-9496
Fax Number :
Provider Business Practice Location Address
First Line : 3910 POWELTON AVENUE
Second Line : FIRST FLOOR
City : PHILADELPHIA
State : PA
Zip : 19104-2692
Country : US
Telephone Number : 215-662-9496
Fax Number :
Authorized Official
Title or Position : MANAGER, OUTPATIENT PHARMACY
Name : MS. LORI ANN RIBECCHI
Credential : R.PH.
Telephone Number : 215-662-9496
Provider Enumeration Date : 04/02/2009
Last Update Date : 04/02/2009

Similar Medicare Providers

1376518233 — DAVID A ALLAN MD
Practice Location Address:
3910 POWELTON AVE , 2ND FLOOR
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1194753285 — WILLIAM VALENTINE WILLIAMS MD
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1134144660 — DR. CHADWICK R JOHR MD
Practice Location Address:
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1972316339 — GILLIAN MARY BRADLEY CRNP
Practice Location Address:
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1316147309 — DR. DONALD W GRIFFIN
Practice Location Address:
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1699436287 — HILARY A BUCELL LCSW
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Practice Fax:

Directions to “PENN-PRESBYTERIAN APOTHECARY ” Practice Location

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