Provider Demographics
NPI:1437464203
Name:PHARMACY OF AMERICA II
Entity Type:Organization
Organization Name:PHARMACY OF AMERICA II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OPERATION SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-744-0300
Mailing Address - Street 1:4654 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-1420
Mailing Address - Country:US
Mailing Address - Phone:267-237-1188
Mailing Address - Fax:
Practice Address - Street 1:5872 OXFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-3722
Practice Address - Country:US
Practice Address - Phone:215-613-7900
Practice Address - Fax:215-613-6985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP438595333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy