Kingdom Pharmacy

LBN: Kingdom Pharmacy Llc
Kingdom Pharmacy is an health care organization with primary practice located at 9014 W Chester Pike , Upper Darby PA 19082-2606. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kingdom Pharmacy Llc can be contacted via phone (484) 455-7915, or through Kouahou, Martine via phone (484) 455-7915.

Contact Information

Primary practice address
9014 W Chester Pike Upper Darby PA 19082-2606
Phone: (484) 455-7915
Fax: (484) 455-7923
Website:
Map and Directions
Authorized official contact:
Name: Kouahou, Martine
Phone: (484) 455-7915

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP482480 Pennsylvania

Profile Details

NPI number 1972915189
LBN Legal business name Kingdom Pharmacy Llc
DBA Doing business as Kingdom Pharmacy
Authorized official Kouahou, Martine
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated Nov 29th, 2016 - about 8 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 1972915189 NPPES
Pennsylvania MEDICAID 1029193710001
Pennsylvania Other 2145885

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