Avenue Pharmacy

LBN: Avenue Healthcare Enterprises Inc
Avenue Pharmacy is an health care organization with primary practice located at 1111 Avenue Of The States Store #2, Chester PA 19013. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Avenue Healthcare Enterprises Inc can be contacted via phone (484) 816-0344, or through Balogun, Kayode Ebed-Melech via phone (484) 816-0344.

Contact Information

Primary practice address
1111 Avenue Of The States Store #2 Chester PA 19013
Phone: (484) 816-0344
Fax: (484) 816-0296
Website:
Map and Directions
Authorized official contact:
Name: Balogun, Kayode Ebed-Melech R.PH, M.SC
Phone: (484) 816-0344

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336467836
LBN Legal business name Avenue Healthcare Enterprises Inc
DBA Doing business as Avenue Pharmacy
Authorized official Balogun, Kayode Ebed-Melech R.PH, M.SC
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2010
Last updated Jan 28th, 2022 - about 2 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 1336467836 NPPES
Pennsylvania Other 333600000X PHARMACY
Pennsylvania MEDICAID 1024548380001 PHARMACY

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