Healthcare Provider Details

I. General information

NPI: 1174559801
Provider Name (Legal Business Name): OXFORD PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 03/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 N FRONT ST
PHILADELPHIA PA
19140
US

IV. Provider business mailing address

PO BOX 970
LANSDALE PA
19446-0668
US

V. Phone/Fax

Practice location:
  • Phone: 215-425-1422
  • Fax: 215-425-1433
Mailing address:
  • Phone: 215-425-1422
  • Fax: 215-425-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481440
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEVIN PHAM
Title or Position: GENERAL MANAGER
Credential: MPH
Phone: 215-425-1422