Provider Demographics
NPI:1669860284
Name:URBANCARE PHARMACY
Entity Type:Organization
Organization Name:URBANCARE PHARMACY
Other - Org Name:URBANCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:UDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-858-4662
Mailing Address - Street 1:169 W LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-3832
Mailing Address - Country:US
Mailing Address - Phone:267-858-4662
Mailing Address - Fax:267-858-4454
Practice Address - Street 1:169 W LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-3832
Practice Address - Country:US
Practice Address - Phone:267-858-4662
Practice Address - Fax:267-858-4454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy