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Organization

PHILLY PHARMACY INC

Active
Other names
Medicine Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADLEY P WHITE R PH (VICE PRESIDENT)
(330) 455-9536
Entity
Organization

Contact information

Practice address
551 W HIGH AVE, NEW PHILADELPHIA, OH 44663
(330) 339-4466
(330) 339-9007
Mailing address
551 W HIGH AVE, NEW PHILADELPHIA, OH 44663-2005
(330) 339-4466
(330) 339-9007

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03-3-21701
OH
3336C0003X
Community/Retail Pharmacy
Primary
03-3-21701
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0975655
OH
01
3643271
NAPB
OH
Enumeration date
09/28/2006
Last updated
05/26/2018
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