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Organization
MEDLY PHARMACY INC.
Active
Organization
MEDLY PHARMACY INC.
Active
Other names
Borinquen Pharmacy Inc., Medly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (SVP PHARMACY SERVICES)
(717) 254-9011
Entity
Organization
Contact information
Practice address
31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
(718) 782-7539
(718) 782-7951
Mailing address
31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
(718) 782-7539
(718) 782-7951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
023399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023399
PHARMACY LICENSE
NY
Enumeration date
12/18/2005
Last updated
05/16/2022
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