Pharmacy Health Center #5

LBN: Philadelphia Department Of Public Health Center Pharmacy #5
Pharmacy Health Center #5 is an health care organization with primary practice located at 1900 N. 20Th Street Pharmacy, Philadelphia PA 19121. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Public Health, State or Local, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Philadelphia Department Of Public Health Center Pharmacy #5 can be contacted via phone (215) 685-2936, or through Pender, Jeffrey T. via phone (215) 685-6864.

Contact Information

Primary practice address
1900 N. 20Th Street Pharmacy Philadelphia PA 19121
Phone: (215) 685-2936
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pender, Jeffrey T. RPH
Phone: (215) 685-6864

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X HP418342L Pennsylvania
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1700972411
LBN Legal business name Philadelphia Department Of Public Health Center Pharmacy #5
DBA Doing business as Pharmacy Health Center #5
Authorized official Pender, Jeffrey T. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700972411 NPPES
Pennsylvania MEDICAID 1000076950041

Popular Providers