# MED-FAST PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MED-FAST PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215952825
- **Authorized official:** LISA BROSKY (BILLING MANAGER)
- **Authorized official phone:** (724) 378-5325

## Contact information

- **Practice address:** 2003 SHEFFIELD RD, SUITE B, ALIQUIPPA, PA 15001-2758
- **Practice address phone:** (800) 850-3396
- **Practice address fax:** (724) 774-3034
- **Mailing address:** 2003 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP415600L | PA | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 01/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007458630013 | — | PA |
| 01 | — | 3976834 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |