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Contact Information

PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY STRAWBERRY
2840 W DAUPHIN STREET
PHILADELPHIA, PA19132
 Phone: 215-685-2419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY STRAWBERRY

NPI # 1487730222
LBN Legal business name PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY STRAWBERRY
Authorized official JEFFREY PENDER - (DIRECTOR OF PHARMACEUTICAL SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 03/07/2019 - About 7 years ago
Identifiers
PA License # PP413927L
PA Medicaid 1000076950082
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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