Philadelphian Pharmacy

LBN: Rudi Pharmacy Inc
Philadelphian Pharmacy is an health care organization with primary practice located at 2401 Pennsylvania Ave , Philadelphia PA 19130-3010. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rudi Pharmacy Inc can be contacted via phone (215) 232-0533, or through Rudolph, Joseph via phone (215) 232-0533.

Contact Information

Primary practice address
2401 Pennsylvania Ave Philadelphia PA 19130-3010
Phone: (215) 232-0533
Fax: (215) 232-1927
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Joseph PHARMACIST
Phone: (215) 232-0533

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP415530L Pennsylvania

Profile Details

NPI number 1518936491
LBN Legal business name Rudi Pharmacy Inc
DBA Doing business as Philadelphian Pharmacy
Authorized official Rudolph, Joseph PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 11th, 2011 - about 13 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 1518936491 NPPES
Other 3984223 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1013136750001 NCPDP PROVIDER IDENTIFICATION NUMBER

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