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Pennsport Mall Pharmacy Llc
Compounding Pharmacy in Philadelphia, Pennsylvania
NPI 1366817991

Pennsport Mall Pharmacy Llc is a Compounding Pharmacy based in Philadelphia, PA and is specialized in Compounding Pharmacy. Pennsport Mall Pharmacy Llc practices in Philadelphia, PA. The NPI Number for Pennsport Mall Pharmacy Llc is 1366817991 and holds a License No. (Pennsylvania).

The current practice location address for Pennsport Mall Pharmacy Llc is 237 Mcclellan St, Philadelphia, PA and can be reached out via phone at 267-639-4657 and via fax at 267-687-2583.

Location: 237 Mcclellan St, Philadelphia, PA, 19148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366817991
Provider Name
Pennsport Mall Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
237 Mcclellan St, Philadelphia, PA, 19148
Phone Number
267-639-4657
Fax Number
267-687-2583
Provider Enumeration Date
12/08/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1030762100001 05 PA
2155869 01 PK
institution
Provider Business Practice Location Address Details
Address
237 Mcclellan St
City
Philadelphia
State
Pennsylvania
Zip
19148-1954
Phone Number
267-639-4657
Fax Number
267-687-2583
person
Provider Business Mailing Address Details
Address
237 Mcclellan St
City
Philadelphia
State
Pennsylvania
Zip
19148-1954
Phone Number
267-639-4657
Fax Number
267-687-2583
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PP482611 (Pennsylvania)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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