Broad And Grange Pharmacy in Philadelphia - Community/retail Pharmacy

Broad And Grange Pharmacy - NPI 1093993388

Broad And Grange Pharmacy is a Community/retail Pharmacy in Philadelphia, Pennsylvania. Broad And Grange Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Broad And Grange Pharmacy is 1093993388. The last update date is 2016-06-13.

Broad And Grange Pharmacy's current location address is 5751 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154242611 and fax number 2154246927. The mailing address for Broad And Grange Pharmacy is 5751 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Broad And Grange Pharmacy
Address 5751 N Broad St, Philadelphia, Pennsylvania
Phone Number 2154242611
Fax Number 2154246927
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Snyder Brian
Telephone Number 2152289007

NPI Number Detail

NPI Number 1093993388
Provider Enumeration Date 2008-02-08
Last Updated Date 2016-06-13

Provider Mailing Address Detail

Address 5751 N Broad St
City Philadelphia
State Pennsylvania (PA)
Post Code 191412300
Phone Number 2154242611
Fax Number 2154246927

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PP481783
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
2082477 PK

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FAQs about Broad And Grange Pharmacy

What is the Broad And Grange Pharmacy's unique identification number?

The Broad And Grange Pharmacy has been assigned the NPI (National Provider Identifier) Number 1093993388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Broad And Grange Pharmacy is physically located?

The Broad And Grange Pharmacy is situated at the following address: 5751 N Broad St, Philadelphia, PA 191412300.

What is Broad And Grange Pharmacy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Broad And Grange Pharmacy's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

On what date did Broad And Grange Pharmacy receive its 1093993388 assignment from the Centers for Medicare & Medicaid Services?

The Broad And Grange Pharmacy was assigned its 1093993388 on 2008-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Broad And Grange Pharmacy last refreshed?

The information related to the Broad And Grange Pharmacy, including its address, specialty, and other relevant details, was last updated on 2016-06-13.

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