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FOUR STAR PHARMACY II LLC NPI 1598023400


NPI Information

NPI: 1598023400
Provider Name: FOUR STAR PHARMACY II LLC

Doing Business As: FOUR STAR PHARMACY II

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6542 LEBANON AVE
PHILADELPHIA, PA
ZIP 19151
Phone: (215) 877-2400
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FOUR STAR PHARMACY II 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. FOUR STAR PHARMACY II LLC NPI is 1598023400. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Star Pharmacy Ii.

The provider's business location address is:

6542 LEBANON AVE
PHILADELPHIA, PA
ZIP 19151-328
Phone: (215) 877-2400
Fax: (215) 877-2403

The provider's authorized official is Iyabode Adewale .
The authorized official title is Pharmacist/partner and has the following contact phone number (215) 877-2400.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 3/1/2017.


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
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyPP482266PENNSYLVANIAYes

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
12135081OTHERPK
21027396500001MEDICAIDPENNSYLVANIA

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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