Organization · Type 2 NPI

Department of Military Affairs Commonwealth of Pennsylvania

Long Term Care Pharmacy · Philadelphia, PA

NPI number 1114282191 Active

Practice location

2701 Southampton Rd
Philadelphia, PA 19154-1205

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PP481847 (PA)
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

14 other providers at this address

Other long term care pharmacy providers in Philadelphia

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NPI record

NPI: 1114282191
Entity type: Organization (Type 2)
Issued: Jul 6, 2012
Last updated: May 24, 2022
Status: Active

Other names

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Delaware Valley Veterns Home Pharmacy · doing business as
Delaware Valley Veterns Home Pharmacy · doing business as

Authorized official

Thomas Reed
Fiscal Services Administrator
(814) 242-7789

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114282191

Department of Military Affairs Commonwealth of Pennsylvania's National Provider Identifier is 1114282191, issued on Jul 6, 2012. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Philadelphia, PA. The record was last updated on May 24, 2022.