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CENTER PHARMACY OF ERIE AVE. INC NPI 1790836559


NPI Information

NPI: 1790836559
Provider Name: CENTER PHARMACY OF ERIE AVE., INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
516 W ERIE AVE
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 225-0998
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CENTER PHARMACY OF ERIE AVE., INC 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. CENTER PHARMACY OF ERIE AVE., INC NPI is 1790836559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

516 W ERIE AVE
PHILADELPHIA, PA
ZIP 19140-535
Phone: (215) 225-0998
Fax: (215) 225-2781

The provider's authorized official is Philip M Lubaroff .
The authorized official title is President and has the following contact phone number (215) 225-0998.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 9/2/2016.


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
1183500000XPharmacistPP410568LPENNSYLVANIANo
23336C0003XPharmacyCommunity/Retail PharmacyPP410568LPENNSYLVANIAYes

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
10009311780001MEDICAIDPENNSYLVANIA

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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