Organization
MED-FAST PHARMACY INC
Active
Other names
MED-FAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L KALEUGHER (PRESIDENT)
(724) 378-5325
Entity
Organization
Contact information
Practice address
RT 136 AND JANYCE DR, GREENSBURG, PA 15601
(724) 850-8501
(724) 850-8510
Mailing address
2003 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3989057
OTHER ID NUMBER
—
Enumeration date
08/30/2007
Last updated
01/14/2011
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