Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Pharmacy Services Incorporated

Organization Long Term Care Pharmacy · NPI 1720640634

Centennial Pharmacy Services Incorporated is a Long Term Care Pharmacy in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1020 N Delaware Ave Ste 200
Philadelphia, PA 19125-4334
Phone: (267) 534-5025
Fax: (267) 324-5418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1720640634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Mandra — Ceo · (609) 200-5565
Other names Centennial Pharmacy Services
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address1020 N Delaware Ave Ste 200, Philadelphia, PA 19125-4334

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