OrganizationActive
Adeyinka T Adebamiro
NPI 1548445117 · Community/Retail Pharmacy · Philadelphia, PA
Provider details
- NPI number
- 1548445117
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adeyinka Adebamiro, Owner(215) 424-1966
- License
- PP481770 (PA)
Specialties & taxonomies
Suppliers
Practice location
5915 N Broad St
Philadelphia, PA 19141-1801
Phone: (215) 424-1966
Fax: (215) 549-2499
Approximate (ZIP-level) locationGet directions
Mailing address
5915 N Broad St
Philadelphia, PA 19141-1801
Other names (DBA / former)
- Doing business as
- Ata Pharmacy
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2009-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.