Olde Philly Pharmacy

LBN: Independent Apothecary Incorporated
Olde Philly Pharmacy is an health care organization with primary practice located at 2923 E Thompson St , Philadelphia PA 19134-4812. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Independent Apothecary Incorporated can be contacted via phone (215) 739-0548, or through Cirillo, James via phone (215) 739-0548.

Contact Information

Primary practice address
2923 E Thompson St Philadelphia PA 19134-4812
Phone: (215) 739-0548
Fax: (215) 739-1579
Website:
Map and Directions
Authorized official contact:
Name: Cirillo, James
Phone: (215) 739-0548

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481544 Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1760402606
LBN Legal business name Independent Apothecary Incorporated
DBA Doing business as Olde Philly Pharmacy
Authorized official Cirillo, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 1st, 2024 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760402606 NPPES
Other 2087681 PK
MEDICAID 015440460001 PK

Popular Providers