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Suburban Bustleton Pharmacy Inc.
Pharmacy in Philadelphia, Pennsylvania
NPI 1962560565

Suburban Bustleton Pharmacy Inc. is a Pharmacy based in Philadelphia, PA. Suburban Bustleton Pharmacy Inc. practices in Philadelphia, PA. The NPI Number for Suburban Bustleton Pharmacy Inc. is 1962560565 and holds a License No. PP412433L (Pennsylvania).

The current practice location address for Suburban Bustleton Pharmacy Inc. is 10875 Bustleton Avenue, Philadelphia, PA and can be reached out via phone at 215-673-0994 and via fax at 215-969-6176.

Location: 10875 Bustleton Avenue, Philadelphia, PA, 19116-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962560565
Provider Name
Suburban Bustleton Pharmacy Inc.
Credential
Provider Entity Type
Organization
Address
10875 Bustleton Avenue, Philadelphia, PA, 19116-3301
Phone Number
215-673-0994
Fax Number
215-969-6176
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0014348470001 05 PA
institution
Provider Business Practice Location Address Details
Address
10875 Bustleton Avenue
City
Philadelphia
State
Pennsylvania
Zip
19116-3301
Phone Number
215-673-0994
Fax Number
215-969-6176
person
Provider Business Mailing Address Details
Address
10875 Bustleton Avenue
City
Philadelphia
State
Pennsylvania
Zip
19116-3301
Phone Number
215-673-0994
Fax Number
215-969-6176
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PP412433L (Pennsylvania)
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.
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