Organization
NEFF DRUGS 8 LLC
Active
Other names
FAIRDALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RALSTON (MANAGER)
(215) 630-4650
Entity
Organization
Contact information
Practice address
4019 FAIRDALE RD, PHILADELPHIA, PA 19154-3609
(215) 632-2828
(215) 632-2929
Mailing address
4019 FAIRDALE RD, PHILADELPHIA, PA 19154-3609
(215) 632-2828
(215) 632-2929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481844
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082535
PK
—
Enumeration date
04/24/2008
Last updated
10/15/2023
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