Willits Road Pharmacy

LBN: Willits Road Pharmacy Inc
Willits Road Pharmacy is an health care organization with primary practice located at 3122-24 Willits Road , Philadelphia PA 19136-1116. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Willits Road Pharmacy Inc can be contacted via phone (215) 673-9909, or through Cavanaugh, Michael James via phone (215) 673-9909.

Contact Information

Primary practice address
3122-24 Willits Road Philadelphia PA 19136-1116
Phone: (215) 673-9909
Fax: (215) 673-3824
Website:
Map and Directions
Authorized official contact:
Name: Cavanaugh, Michael James RPH
Phone: (215) 673-9909

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PP415332L Pennsylvania

Profile Details

NPI number 1083688246
LBN Legal business name Willits Road Pharmacy Inc
DBA Doing business as Willits Road Pharmacy
Authorized official Cavanaugh, Michael James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 22nd, 2010 - about 15 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 1083688246 NPPES
Pennsylvania MEDICAID 001664883

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