Provider Demographics
NPI:1528216520
Name:FUTURE PHARMACY INC.
Entity Type:Organization
Organization Name:FUTURE PHARMACY INC.
Other - Org Name:FUTURE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KILIMNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-671-0980
Mailing Address - Street 1:9831 BUSTLETON AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3200
Mailing Address - Country:US
Mailing Address - Phone:215-671-0980
Mailing Address - Fax:215-969-0090
Practice Address - Street 1:9831 BUSTLETON AVE
Practice Address - Street 2:STE 6
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3200
Practice Address - Country:US
Practice Address - Phone:215-671-0980
Practice Address - Fax:215-969-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
PAPP4818503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116758OtherPK
PA1022016370001Medicaid
6169760001Medicare NSC