Organization
MEDLY PHARMACY INC.
Active
Other names
Borinquen Pharmacy Inc., 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
31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
(718) 782-7539
(718) 782-7951
Mailing address
31 DEBEVOISE ST, BROOKLYN, NY 11206-4196
(718) 782-7539
(718) 782-7951
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
023399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023399
PHARMACY LICENSE
NY
Enumeration date
12/18/2005
Last updated
05/16/2022
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