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DELUXE DRUG STORES LLC NPI 1629384979


NPI Information

NPI: 1629384979
Provider Name: DELUXE DRUG STORES LLC

Doing Business As: DELUXE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 39D2241143

Address:
8749 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 941-7689
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DELUXE DRUG STORES LLC is a community/retail pharmacy pharmacy in Philadelphia, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DELUXE DRUG STORES LLC NPI is 1629384979. The provider is registered as an organization entity type.
The provider Is Doing Business As Deluxe Pharmacy.

The provider's business location address is:

8749 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19136-126
Phone: (215) 941-7689
Fax: (215) 941-7893

The provider's authorized official is Venkata Balamuri .
The authorized official title is Pharmacy Manager and has the following contact phone number (215) 941-7689.

The CLIA number assigned to this NPI record is 39D2241143 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 4/11/2019.


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
13336C0003XPharmacyCommunity/Retail PharmacyPP482051PENNSYLVANIAYes

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
11025140600001MEDICAIDPENNSYLVANIA
23994337OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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