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Organization
PHILLY PHARMACY INC
Active
Organization
PHILLY PHARMACY INC
Active
Other names
Medicine Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY P WHITE R PH (VICE PRESIDENT)
(330) 455-9536
Entity
Organization
Contact information
Practice address
551 W HIGH AVE, NEW PHILADELPHIA, OH 44663
(330) 339-4466
(330) 339-9007
Mailing address
551 W HIGH AVE, NEW PHILADELPHIA, OH 44663-2005
(330) 339-4466
(330) 339-9007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03-3-21701
OH
3336C0003X
Community/Retail Pharmacy
Primary
03-3-21701
OH
Other
Enumeration date
09/28/2006
Last updated
05/26/2018
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