Pharmacy Strawberry Mansion Health Center

LBN: Philadelphia Department Of Public Health Center Pharmacy Strawberry
Pharmacy Strawberry Mansion Health Center is an health care organization with primary practice located at 2840 W Dauphin Street , Philadelphia PA 19132. 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 Strawberry can be contacted via phone (215) 685-2419, or through Pender, Jeffrey T. via phone (215) 685-6864.

Contact Information

Primary practice address
2840 W Dauphin Street Philadelphia PA 19132
Phone: (215) 685-2419
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 / Federally Qualified Health Center (FQHC) 261QF0400X PP413927L Pennsylvania
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Pennsylvania
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1487730222
LBN Legal business name Philadelphia Department Of Public Health Center Pharmacy Strawberry
DBA Doing business as Pharmacy Strawberry Mansion Health Center
Authorized official Pender, Jeffrey T. RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 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 1487730222 NPPES
Pennsylvania MEDICAID 1000076950082

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