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

Philadelphia Department of Public Health Center Pharmacy #4

Organization State or Local Public Health Clinic/Center · NPI 1164518866

Philadelphia Department of Public Health Center Pharmacy #4 is a State or Local Public Health Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4400 Haverford Avenue Pharmacy
Philadelphia, PA 19104
Phone: (215) 685-7926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X
State or Local Public Health Clinic/Center Taxonomy 261QP0905X · Licence HP418324L (PA)

Record details

NPI number1164518866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Pender — Director Of Pharmaceutical Services · (215) 685-6864
Other names Pharmacy Health Center #4; Pharmacy Health Center #4
NPI enumeratedOctober 4, 2006
Last updated in NPPESMarch 7, 2019
Mailing address500 S. Broad Street, Pharmacy/Basement, Philadelphia, PA 19146

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