Davideja Llc in Philadelphia - Community/retail Pharmacy

Davideja Llc - NPI 1356405930

Davideja Llc is a Community/retail Pharmacy in Philadelphia, Pennsylvania. Davideja Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Davideja Llc is 1356405930. The last update date is 2012-10-04.

Davideja Llc's current location address is 249 S. 52nd Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157480800 and fax number 2157481269. The mailing address for Davideja Llc is 249 S. 52nd Street, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Davideja Llc
Address 249 S. 52nd Street, Philadelphia, Pennsylvania
Phone Number 2157480800
Fax Number 2157481269
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACIST
Authorized Official Name Simmons David
Credentials R.PH
Telephone Number 2673250139

NPI Number Detail

NPI Number 1356405930
Provider Enumeration Date 2006-12-20
Last Updated Date 2012-10-04

Provider Mailing Address Detail

Address 249 S. 52nd Street
City Philadelphia
State Pennsylvania (PA)
Post Code 191399999
Phone Number 2157480800
Fax Number 2157481269

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PP481376
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3983447 NCPDP PROVIDER IDENTIFICATION
101034939-0001 PA --

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FAQs about Davideja Llc

What is the unique 10-digit identification code assigned to Davideja Llc by the Centers for Medicare & Medicaid Services?

The Davideja Llc has been issued the NPI (National Provider Identifier) 1356405930, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Davideja Llc located?

The Davideja Llc is located at 249 S. 52Nd Street, Philadelphia, PA 191399999.

What is the area of specialization for Davideja Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Davideja Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

On what date did the Davideja Llc receive the assignment of its 1356405930 from the Centers for Medicare & Medicaid Services?

The Davideja Llc was issued its 1356405930 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date were the details pertaining to Davideja Llc last refreshed?

The information related to the Davideja Llc, including its address, specialty, and other relevant details, was last updated on 2012-10-04.

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