PHILADELPHIA PROFESSIONAL COMPOUNDING PHARMACY LLC
23 S York Rd Frnt
Hatboro, PA 19040
215-672-8552
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | PA | PP481799 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 3990391 | OTHER |