Organization
MED-FAST PHARMACY INC
Active
Other names
MED FAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROSKY RPH (BILLING MANAGER)
(724) 378-5325
Entity
Organization
Contact information
Practice address
5001 LIBRARY RD, BETHEL PARK, PA 15102-2811
(412) 831-0440
(412) 831-8815
Mailing address
2003 SHEFFIELD RD, ALIQUIPPA, PA 15001-2758
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP481209
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981481
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
01/13/2011
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