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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