Philadelphia Department of Public Health Center Pharmacy #10
NPI #1417038191 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1417038191
- Entity Type
- Organization
- Organization Name
- Philadelphia Department of Public Health Center Pharmacy #10
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 2230 COTTMAN AVENUE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19149
- Phone
- (215) 685-0616
Authorized Official
- Name
- MR. JEFFREY T. PENDER, RPH
- Title
- DIRECTOR OF PHARMACEUTICAL SERVICES
- Phone
- (215) 685-6864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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