PENNCARE-J. EDWIN WOOD CLINIC is a non pharmacy dispensing site in Philadelphia, PA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PENNCARE-J. EDWIN WOOD CLINIC NPI is 1104967918. The provider is registered as an organization entity type.
The provider's business location address is:
700 SPRUCE ST
304
PHILADELPHIA, PA
ZIP 19106-022
Phone: (215) 829-3532
The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.
The enumeration date for this NPI number is 2/12/2007 and was last updated on 12/4/2012.