Philadelphia Department of Public Health Center Pharmacy #4
NPI #1164518866 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1164518866
- Entity Type
- Organization
- Organization Name
- Philadelphia Department of Public Health Center Pharmacy #4
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 4400 HAVERFORD AVENUE
- Address 2
- PHARMACY
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19104
- Phone
- (215) 685-7926
Authorized Official
- Name
- MR. JEFFREY T. PENDER, RPH
- Title
- DIRECTOR OF PHARMACEUTICAL SERVICES
- Phone
- (215) 685-6864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Public Health, State or Local — Public Health, State or Local |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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