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PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2 NPI 1730260704


NPI Information

NPI: 1730260704
Provider Name: PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2

Doing Business As: PHARMACY HEALTH CENTER #2

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1700 S BROAD STREET SUITE 2
PHARMACY
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 685-1814
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PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2 is a clinic pharmacy pharmacy in Philadelphia, PA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #2 NPI is 1730260704. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmacy Health Center #2.

The provider's business location address is:

1700 S BROAD STREET SUITE 2
PHARMACY
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 685-1814

The provider's authorized official is Jeffrey T. Pender .
The authorized official title is Director Of Pharmaceutical Services and has the following contact phone number (215) 685-6864.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/7/2019.


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
1261QP0905XClinic/CenterPublic Health, State or LocalHP418339LPENNSYLVANIANo
23336C0002XPharmacyClinic PharmacyYes

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
11000076950035MEDICAIDPENNSYLVANIA

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: 11/14/2023

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