Organization
PHILLY METRO PHARMACY LLC
Active
Other names
philly metro pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL OGUNLEYE (OWNER)
(267) 331-5626
Entity
Organization
Contact information
Practice address
25 E WALNUT LN, PHILADELPHIA, PA 19144-2002
(267) 331-5626
(267) 331-5743
Mailing address
25 E WALNUT LN, PHILADELPHIA, PA 19144-2002
(267) 331-5626
(267) 331-5743
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3996696
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/14/2011
Last updated
05/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us