Provider Demographics
NPI:1851517593
Name:GENERAL HEALTHCARE INC.
Entity Type:Organization
Organization Name:GENERAL HEALTHCARE INC.
Other - Org Name:GENERAL HEALTHCARE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY T00ECHNICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHANIKA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:NATIONAL CERTIFIED
Authorized Official - Phone:800-879-4471
Mailing Address - Street 1:142 N HOBART ST
Mailing Address - Street 2:4511 WALNUT STREET APT. 215
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-2431
Mailing Address - Country:US
Mailing Address - Phone:215-476-5010
Mailing Address - Fax:
Practice Address - Street 1:142 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-2431
Practice Address - Country:US
Practice Address - Phone:215-476-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26663756251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health