Organization
MED-FAST PHARMACY INC
Active
Organization
MED-FAST PHARMACY INC
Active
Other names
MED-FAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROSKY (BILLING MANAGER)
(724) 378-5325
Entity
Organization
Contact information
Practice address
2007 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758
(724) 375-1672
(724) 375-2272
Mailing address
2007 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP481444
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007458630041
—
PA
01
—
3984108
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/19/2006
Last updated
01/13/2011
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