NPI 1467670562
General Health Care
Practice location
- Address
- 133 E Duval St, Phila, PA 19144-1923
- Phone
- (215) 991-6496
Authorised official
- Name
- Lance Eastwood Moore
- Title
- Pharmacy Tech.
- Phone
- (215) 991-6496
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1467670562
- Entity type
- Organization
- NPI issued
- 23 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.