Ninth Street Pharmacy

LBN: Ninth Street Pharmacy
Ninth Street Pharmacy is an health care organization with primary practice located at 2400 S 9Th St , Philadelphia PA 19148-3716. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Ninth Street Pharmacy can be contacted via phone (215) 468-0497, or through Sorochkin, Yuri via phone (215) 468-0497.

Contact Information

Primary practice address
2400 S 9Th St Philadelphia PA 19148-3716
Phone: (215) 468-0497
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sorochkin, Yuri
Phone: (215) 468-0497

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PP412224L Pennsylvania

Profile Details

NPI number 1669542197
LBN Legal business name Ninth Street Pharmacy
DBA Doing business as
Authorized official Sorochkin, Yuri
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 7th, 2023 - 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 1669542197 NPPES
Pennsylvania Other PP412224L STATE LICENSE NUMBER
Pennsylvania MEDICAID 1016918740001 STATE LICENSE NUMBER
Pennsylvania Other 3983966 STATE LICENSE NUMBER

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