Health Center #1 Pharmacy

LBN: Philadelphia Department Of Public Health Center Pharmacy #1
Health Center #1 Pharmacy is an health care organization with primary practice located at 500 S. Broad Street Pharmacy, Philadelphia PA 19146. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Philadelphia Department Of Public Health Center Pharmacy #1 can be contacted via phone (215) 685-6513, or through Pender, Jeffrey T. via phone (215) 685-6864.

Contact Information

Primary practice address
500 S. Broad Street Pharmacy Philadelphia PA 19146
Phone: (215) 685-6513
Fax: (215) 790-1651
Website:
Map and Directions
Authorized official contact:
Name: Pender, Jeffrey T. RPH
Phone: (215) 685-6864

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PP481593 Pennsylvania
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Institutional Pharmacy 3336I0012X Pennsylvania

Profile Details

NPI number 1780752188
LBN Legal business name Philadelphia Department Of Public Health Center Pharmacy #1
DBA Doing business as Health Center #1 Pharmacy
Authorized official Pender, Jeffrey T. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 7th, 2019 - about 6 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 1780752188 NPPES
Other 2081751 PK
MEDICAID 1000076950093 PK

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