LOMBARD APOTHECARY INC
1745 South St
Philadelphia, PA 19146
215-732-7888
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | PA | PP481188L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1019565950001 | PA | MEDICAID | |
PA DRUG & DEVICE LICENSE - WHOLESALER/DISTRIBUTOR | 8000001938 | PA | OTHER |
OTHER ID NUMBER-COMMERCIAL NUMBER | 3981075 | OTHER | |
PA SALES TAX LICENSE | 84136809 | PA | OTHER |
DEA REGISTRATION | FM0334552 | OTHER | |
PA PHARMACY LICENSE | PP411697L | PA | OTHER |
PA DRUG & DEVICE REGISTRATION - DISTRIBUTOR | 3000008269 | PA | OTHER |