RUDI PHARMACY INC
2401 Pennsylvania Ave
Philadelphia, PA 19130
215-232-0533
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | PA | PP415530L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1013136750001 | PA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3984223 | OTHER |