# MEDLY PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Borinquen Pharmacy Inc., Medly Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962488387
- **Authorized official:** ALISON FARRELL (SVP PHARMACY SERVICES)
- **Authorized official phone:** (717) 254-9011

## Contact information

- **Practice address:** 31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
- **Practice address phone:** (718) 782-7539
- **Practice address fax:** (718) 782-7951
- **Mailing address:** 31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
- **Mailing address phone:** (718) 782-7539
- **Mailing address fax:** (718) 782-7951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 023399 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2005
- **Last updated:** 05/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 023399 | PHARMACY LICENSE | NY |