Pharmacy Health Center #6

LBN: Philadelphia Department Of Public Health Center Pharmacy #6
Pharmacy Health Center #6 is an health care organization with primary practice located at 321 W. Girard Ave Pharmacy, Philadelphia PA 19123. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Philadelphia Department Of Public Health Center Pharmacy #6 can be contacted via phone (215) 685-3822, or through Pender, Jeffrey T. via phone (215) 686-6864.

Contact Information

Primary practice address
321 W. Girard Ave Pharmacy Philadelphia PA 19123
Phone: (215) 685-3822
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pender, Jeffrey T. RPH
Phone: (215) 686-6864

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X HP418325L Pennsylvania
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Pennsylvania
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1659468916
LBN Legal business name Philadelphia Department Of Public Health Center Pharmacy #6
DBA Doing business as Pharmacy Health Center #6
Authorized official Pender, Jeffrey T. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659468916 NPPES
Pennsylvania MEDICAID 1000076950043

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