Organization
MEDLY PHARMACY PA INC.
Active
Organization
MEDLY PHARMACY PA INC.
Active
Other names
Medly Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (SVP PHARMACY SERVICES)
(717) 254-9011
Entity
Organization
Contact information
Practice address
1222 WALNUT ST, PHILADELPHIA, PA 19107-5466
(215) 941-6240
(215) 941-6244
Mailing address
104 GRAHAM AVE, BROOKLYN, NY 11206-3320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PP482489
PHARMACY LICENSE
PA
Enumeration date
04/18/2019
Last updated
05/20/2022
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