Ata Pharmacy

LBN: Adeyinka T Adebamiro
Ata Pharmacy is an health care organization with primary practice located at 5915 N Broad St , Philadelphia PA 19141-1801. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Adeyinka T Adebamiro can be contacted via phone (215) 424-1966, or through Adebamiro, Adeyinka via phone (215) 424-1966.

Contact Information

Primary practice address
5915 N Broad St Philadelphia PA 19141-1801
Phone: (215) 424-1966
Fax: (215) 549-2499
Website:
Map and Directions
Authorized official contact:
Name: Adebamiro, Adeyinka
Phone: (215) 424-1966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP481770 Pennsylvania

Profile Details

NPI number 1548445117
LBN Legal business name Adeyinka T Adebamiro
DBA Doing business as Ata Pharmacy
Authorized official Adebamiro, Adeyinka
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Apr 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548445117 NPPES
Other 3989627 NCPDP PROVIDER IDENTIFICATION NUMBER

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