Healthcare Provider Details

I. General information

NPI: 1740196112
Provider Name (Legal Business Name): HOPE RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W SUSQUEHANNA AVE
PHILADELPHIA PA
19122-1768
US

IV. Provider business mailing address

110 W SUSQUEHANNA AVE
PHILADELPHIA PA
19122-1768
US

V. Phone/Fax

Practice location:
  • Phone: 215-279-7295
  • Fax: 215-279-7915
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHINTAN PATEL
Title or Position: PRESIDENT
Credential:
Phone: 443-370-6964