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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