Provider Demographics
NPI:1760815419
Name:FUTURE MEDICAL SUPPLY & PHARMACY, LLC.
Entity Type:Organization
Organization Name:FUTURE MEDICAL SUPPLY & PHARMACY, LLC.
Other - Org Name:FUTURE MEDICAL SUPPLY & 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:215-437-7775
Mailing Address - Street 1:9831 BUSTLETON AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-3200
Mailing Address - Country:US
Mailing Address - Phone:215-437-7775
Mailing Address - Fax:215-538-3114
Practice Address - Street 1:9831 BUSTLETON AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3200
Practice Address - Country:US
Practice Address - Phone:215-437-7775
Practice Address - Fax:215-538-3114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4824163336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy