Provider Demographics
NPI:1639150154
Name:FRIENDSHIP PHARMACY INC
Entity Type:Organization
Organization Name:FRIENDSHIP PHARMACY INC
Other - Org Name:FRIENDSHIP PHARMACY LTC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUBINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-624-0606
Mailing Address - Street 1:3300 COTTMAN AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1601
Mailing Address - Country:US
Mailing Address - Phone:215-624-0606
Mailing Address - Fax:
Practice Address - Street 1:3300 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1601
Practice Address - Country:US
Practice Address - Phone:215-624-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4814123336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy