Sousan Pharmacy Inc

LBN: Sousan Pharmacy Inc
Sousan Pharmacy Inc is an health care organization with primary practice located at 8029 Old York Rd , Elkins Park PA 19027-1413. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sousan Pharmacy Inc can be contacted via phone (215) 635-4200, or through Haaz, Elliott via phone (215) 635-4200.

Contact Information

Primary practice address
8029 Old York Rd Elkins Park PA 19027-1413
Phone: (215) 635-4200
Fax: (215) 635-3654
Website:
Map and Directions
Authorized official contact:
Name: Haaz, Elliott RPH
Phone: (215) 635-4200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP412344L Pennsylvania

Profile Details

NPI number 1225028558
LBN Legal business name Sousan Pharmacy Inc
DBA Doing business as Sousan Pharmacy Inc
Authorized official Haaz, Elliott RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 1st, 2010 - about 14 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 1225028558 NPPES
Other 3914024 NCPDP PROVIDER IDENTIFICATION NUMBER

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