Organization
OAK LANE PHARMACY INC
Active
Organization
OAK LANE PHARMACY INC
Active
Other names
OAK LANE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA RATHFON RPH (OWNER)
(215) 924-9929
Entity
Organization
Contact information
Practice address
6724 OLD YORK RD, PHILADELPHIA, PA 19126-2840
(215) 924-9929
(215) 924-4847
Mailing address
6724 OLD YORK RD, PHILADELPHIA, PA 19126-2840
(215) 924-9929
(215) 924-4847
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481792
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2082491
PK
—
Enumeration date
03/14/2008
Last updated
02/14/2017
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