Penncare-J Edwin Wood Clinic
Penncare-J Edwin Wood Clinic is a Non-Pharmacy Dispensing Site in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
700 Spruce St 304Philadelphia, PA 19106-4022
Phone: (215) 829-3532
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Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence OS012672 (PA) |
|---|
Record details
| NPI number | 1104967918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Director Of Operations · (858) 625-2990 |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | December 4, 2012 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
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