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Organization
MED-FAST PHARMACY INC
Active
Organization
MED-FAST PHARMACY INC
Active
Other names
MED-FAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROSKY (BILLING MANAGER)
(724) 378-5325
Entity
Organization
Contact information
Practice address
2003 SHEFFIELD RD, SUITE B, ALIQUIPPA, PA 15001-2758
(800) 850-3396
(724) 774-3034
Mailing address
2003 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415600L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007458630013
—
PA
01
—
3976834
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
01/06/2017
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