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Contact Information

2310 BROAD STREET LLC
2310 N BROAD ST SPC A
PHILADELPHIA, PA19132-4565
 Phone: 215-223-5700
 Fax: 215-223-5900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 2310 BROAD STREET LLC

NPI Number 1326407321
LBN Legal business name 2310 BROAD STREET LLC
Authorized official MANOJ VEKARIA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2016
Last updated 02/15/2024 - About 2 years ago
Identifiers
PA License # PP482340
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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