Philadelphia Department Of Public Health Center Pharmacy #10 in Philadelphia - Federally Qualified Health Center (fqhc)
Philadelphia Department Of Public Health Center Pharmacy #10 - NPI 1417038191
Philadelphia Department Of Public Health Center Pharmacy #10 is a Federally Qualified Health Center (fqhc) in Philadelphia, Pennsylvania. Philadelphia Department Of Public Health Center Pharmacy #10 practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Philadelphia Department Of Public Health Center Pharmacy #10 is 1417038191. The last update date is 2019-03-07.
Philadelphia Department Of Public Health Center Pharmacy #10's current location address is 500 S. Broad Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156856864 and fax number 2157901651. The mailing address for Philadelphia Department Of Public Health Center Pharmacy #10 is 500 S. Broad Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Philadelphia Department Of Public Health Center Pharmacy #10 |
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Address | 500 S. Broad Street, Philadelphia, Pennsylvania |
Phone Number | 2156856864 |
Fax Number | 2157901651 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Pender T. Jeffrey |
Credentials | RPH |
Telephone Number | 2156856864 |
NPI Number Detail
NPI Number | 1417038191 |
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Provider Enumeration Date | 2006-10-18 |
Last Updated Date | 2019-03-07 |
Provider Mailing Address Detail
Address | 500 S. Broad Street |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 19146 |
Phone Number | 2156856864 |
Fax Number | 2157901651 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Licence No | HP418337L |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1000076950045 | PA | -- |
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What is the unique provider identifier assigned to Philadelphia Department Of Public Health Center Pharmacy #10?
The Philadelphia Department Of Public Health Center Pharmacy #10 has been issued the NPI (National Provider Identifier) 1417038191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Philadelphia Department Of Public Health Center Pharmacy #10 is located?
The Philadelphia Department Of Public Health Center Pharmacy #10 is situated at the following address: 500 S. Broad Street, Philadelphia, PA, 19146.
What is Philadelphia Department Of Public Health Center Pharmacy #10's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Philadelphia Department Of Public Health Center Pharmacy #10 is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
When did the Philadelphia Department Of Public Health Center Pharmacy #10 receive its 1417038191?
The Philadelphia Department Of Public Health Center Pharmacy #10 was issued its 1417038191 on 2006-10-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Philadelphia Department Of Public Health Center Pharmacy #10, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Philadelphia Department Of Public Health Center Pharmacy #10, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-03-07.