Provider Demographics
NPI:1588716500
Name:I & A BELLS PHARMACY, LLC
Entity type:Organization
Organization Name:I & A BELLS PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:215-745-5700
Mailing Address - Street 1:8508 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1204
Mailing Address - Country:US
Mailing Address - Phone:215-745-5700
Mailing Address - Fax:215-745-8349
Practice Address - Street 1:8508 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1204
Practice Address - Country:US
Practice Address - Phone:215-745-5700
Practice Address - Fax:215-745-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019584340001Medicaid
PA4995160001Medicare NSC