Organization · Type 2 NPI

Philadelphia Department of Public Health Center Pharmacy #4

Clinic Pharmacy · Philadelphia, PA

NPI number 1164518866 Active

Practice location

4400 Haverford Avenue, Pharmacy
Philadelphia, PA 19104

Call (215) 685-7926 Map

Mailing address

500 S. Broad Street, Pharmacy/basement
Philadelphia, PA 19146

Specialties and licenses

Taxonomy	Code	License
State or Local Public Health Clinic/Center	261QP0905X	HP418324L (PA)
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Another provider at this address

Janel Elizabeth Hackney, MDInternal Medicine Physician Philadelphia, PA NPI 1154542843

Other clinic pharmacy providers in Philadelphia

See all in Philadelphia →

NPI record

NPI: 1164518866
Entity type: Organization (Type 2)
Issued: Oct 4, 2006
Last updated: Mar 7, 2019
Status: Active

Other names

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Pharmacy Health Center #4 · doing business as
Pharmacy Health Center #4 · doing business as

Authorized official

Mr. Jeffrey T. Pender, RPH
Director of Pharmaceutical Services
(215) 685-6864

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 1164518866

Philadelphia Department of Public Health Center Pharmacy #4's National Provider Identifier is 1164518866, issued on Oct 4, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 7, 2019.