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

Tracemark Pharmacy

Organization Community/Retail Pharmacy · NPI 1215254305

Tracemark Pharmacy is a Community/Retail Pharmacy in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010

Practice location Address checks out

4839 N Broad St
Philadelphia, PA 19141-2107
Phone: (215) 324-0800
Fax: (215) 324-0803
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP481991 (PA)

Record details

NPI number1215254305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bevis Vanterpool — Pharmacy Owner · (215) 668-4494
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 28, 2010
Mailing address4839 N Broad St, Philadelphia, PA 19141-2107

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