Provider Demographics
NPI:1770629008
Name:PHIL'S SHOE STORES INC.
Entity Type:Organization
Organization Name:PHIL'S SHOE STORES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGIULIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-725-8240
Mailing Address - Street 1:7332 ELGIN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3818
Mailing Address - Country:US
Mailing Address - Phone:215-725-8240
Mailing Address - Fax:267-672-3171
Practice Address - Street 1:7332 ELGIN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3818
Practice Address - Country:US
Practice Address - Phone:215-725-8240
Practice Address - Fax:267-672-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies