| NPI | 1780311654 |
|---|---|
| Doing Business As | PENN MEDICINE 76TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE LEVANS Associate Director 215-796-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |