Centennial Pharmacy Services Incorporated

LBN: Centennial Pharmacy Services Incorporated
Centennial Pharmacy Services Incorporated is an health care organization with primary practice located at 1020 N Delaware Ave Ste 200 , Philadelphia PA 19125-4334. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Centennial Pharmacy Services Incorporated can be contacted via phone (267) 534-5025, or through Dymowski, Joseph via phone (267) 324-5025.

Contact Information

Primary practice address
1020 N Delaware Ave Ste 200 Philadelphia PA 19125-4334
Phone: (267) 534-5025
Fax: (267) 324-5418
Website:
Map and Directions
Authorized official contact:
Name: Dymowski, Joseph PHARM D.
Phone: (267) 324-5025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720640634
LBN Legal business name Centennial Pharmacy Services Incorporated
DBA Doing business as
Authorized official Dymowski, Joseph PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2019
Last updated Jul 1st, 2019 - about 5 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 1720640634 NPPES
Pennsylvania MEDICAID 1035739960001

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