Organization
ACADEMY PHARMACY LLC
Active
Other names
ACADEMY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RALSTON RPH (OWNER)
(215) 632-2121
Entity
Organization
Contact information
Practice address
10101 ACADEMY RD, STE 105, PHILADELPHIA, PA 19114-1120
(215) 632-2121
(215) 632-6107
Mailing address
10101 ACADEMY RD, STE 105, PHILADELPHIA, PA 19114-1120
(215) 632-2121
(215) 632-6107
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481582
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015794080001
—
PA
01
—
2087764
PK
—
Enumeration date
05/23/2006
Last updated
03/03/2021
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