Organization
HEALTH ON SOUTH RX LLC
Active
Organization
HEALTH ON SOUTH RX LLC
Active
Other names
Health on South Rx LLC, Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY H FRIEDMAN (RPH)
(215) 962-6000
Entity
Organization
Contact information
Practice address
1631-33 SOUTH ST, PHILADELPHIA, PA 19146-4401
(215) 496-9595
(215) 790-0900
Mailing address
1631-33 SOUTH ST, PHILADELPHIA, PA 19146
(215) 496-9595
(215) 564-6065
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP415039L
PA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036746760001
—
PA
01
—
3922855
NDC
—
Enumeration date
05/01/2007
Last updated
02/15/2022
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