Provider Demographics
NPI:1033589833
Name:RESES PHARMACY INC
Entity Type:Organization
Organization Name:RESES PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RESES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-726-1224
Mailing Address - Street 1:5739 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-5530
Mailing Address - Country:US
Mailing Address - Phone:215-726-1224
Mailing Address - Fax:215-729-1040
Practice Address - Street 1:5739 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-5530
Practice Address - Country:US
Practice Address - Phone:215-726-1224
Practice Address - Fax:215-729-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413130L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy