Organization
MED-FAST PHARMACY INC
Active
Parent organization
MED FAST PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED FAST PHARMACY INC
Authorized official
DOUGLAS L KALEUGHER RPH (PRESIDENT)
(724) 378-5325
Entity
Organization
Contact information
Practice address
2003 SHEFFIELD RD, SUITE C, ALIQUIPPA, PA 15001-2758
(866) 444-6290
(877) 486-4545
Mailing address
2003 SHEFFIELD RD, SUITE C, ALIQUIPPA, PA 15001-2758
(724) 378-5325
(724) 378-5312
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PP481521
PA
3336C0004X
Compounding Pharmacy
Primary
PP481521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056900
—
OH
05
—
1007458630052
—
PA
05
—
1588974786
—
WV
01
—
PP481521
STATE LICENSE NUMBER
PA
Enumeration date
10/21/2010
Last updated
03/07/2023
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