Provider Demographics
NPI:1669831996
Name:JEFFEX, INC.
Entity Type:Organization
Organization Name:JEFFEX, INC.
Other - Org Name:METHODIST HOSPITAL APOTHECARY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:215-955-5085
Mailing Address - Street 1:2301 S BROAD ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3542
Mailing Address - Country:US
Mailing Address - Phone:215-952-9384
Mailing Address - Fax:215-952-1467
Practice Address - Street 1:2301 S BROAD ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3542
Practice Address - Country:US
Practice Address - Phone:215-952-9384
Practice Address - Fax:215-952-1467
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFEX, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481395333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy