Organization · Type 2 NPI

Philadelphia Department of Public Health Center Pharmacy #1

Clinic Pharmacy · Philadelphia, PA

NPI number 1780752188 Active

Practice location

500 S. Broad Street, Pharmacy
Philadelphia, PA 19146

Fax (215) 790-1651

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	PP481593 (PA)
Institutional Pharmacy	3336I0012X	None listed
Institutional Pharmacy	3336I0012X	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

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NPI record

NPI: 1780752188
Entity type: Organization (Type 2)
Issued: Dec 1, 2006
Last updated: Mar 7, 2019
Status: Active

Other names

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Health Center #1 Pharmacy · doing business as
Health Center #1 Pharmacy · 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 1780752188

Philadelphia Department of Public Health Center Pharmacy #1's National Provider Identifier is 1780752188, issued on Dec 1, 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.