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

Suburban Bustleton Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1962560565

Suburban Bustleton Pharmacy Inc is a Community/Retail Pharmacy in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10875 Bustleton Ave
Philadelphia, PA 19116-3301
Phone: (215) 673-0994
Fax: (215) 969-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP412433L (PA)

Record details

NPI number1962560565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Dzierza — Owner · (215) 673-0994
Other names Suburban Pharmacy; Suburban Pharmacy
NPI enumeratedDecember 5, 2006
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address10875 Bustleton Ave, Philadelphia, PA 19116-3301

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