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WILLITS ROAD PHARMACY INC NPI 1083688246


NPI Information

NPI: 1083688246
Provider Name: WILLITS ROAD PHARMACY INC

Doing Business As: WILLITS ROAD PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
3122-24 WILLITS ROAD
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 673-9909
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WILLITS ROAD PHARMACY INC is a pharmacist in Philadelphia, PA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. WILLITS ROAD PHARMACY INC NPI is 1083688246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Willits Road Pharmacy.

The provider's business location address is:

3122-24 WILLITS ROAD
PHILADELPHIA, PA
ZIP 19136-116
Phone: (215) 673-9909
Fax: (215) 673-3824

The provider's authorized official is Michael James Cavanaugh .
The authorized official title is Vice President and has the following contact phone number (215) 673-9909.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistPP415332LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001664883MEDICAIDPENNSYLVANIA
21207240001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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