Organization
M D COMPANY, INC.
Active
Other names
MD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MOGIL MCRP (ADMINISTRATOR)
(215) 763-1875
Entity
Organization
Contact information
Practice address
1641 N FRANKLIN ST, PHILADELPHIA, PA 19122-2903
(215) 763-1875
(215) 235-6897
Mailing address
1641 N FRANKLIN ST, PHILADELPHIA, PA 19122-2903
(215) 763-1875
(215) 235-6897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP411628L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000571206002
—
PA
01
—
3929277
NCPDP
—
01
—
393805
PACE PROGRAM
PA
Enumeration date
11/30/2006
Last updated
02/25/2008
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