Organization · Type 2 NPI

Philadelphia Department of Public Health Center Pharmacy #10

Clinic Pharmacy · Philadelphia, PA

NPI number 1417038191 Active

Practice location

2230 Cottman Avenue
Philadelphia, PA 19149

Call (215) 685-0616 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC)	261QF0400X	HP418337L (PA)
Federally Qualified Health Center (FQHC)	261QF0400X	None listed
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.

Other clinic pharmacy providers in Philadelphia

See all in Philadelphia →

NPI record

NPI: 1417038191
Entity type: Organization (Type 2)
Issued: Oct 18, 2006
Last updated: Mar 7, 2019
Status: Active
Subpart: Yes of Philadelphia Department of Public Health

Other names

<unavail>
Pharmacy Health Center #10 · doing business as
Pharmacy Health Center #10 · 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.

Is this your record? How to update it.

About NPI 1417038191

Philadelphia Department of Public Health Center Pharmacy #10's National Provider Identifier is 1417038191, issued on Oct 18, 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.