Medical Center Pharmacy

LBN: Health On South Rx Llc
Medical Center Pharmacy is an health care organization with primary practice located at 1631-33 South St , Philadelphia PA 19146-4401. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Health On South Rx Llc can be contacted via phone (215) 496-9595, or through Friedman, Jerry H via phone (215) 962-6000.

Contact Information

Primary practice address
1631-33 South St Philadelphia PA 19146-4401
Phone: (215) 496-9595
Fax: (215) 790-0900
Website:
Map and Directions
Authorized official contact:
Name: Friedman, Jerry H
Phone: (215) 962-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP415039L Pennsylvania
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1538380431
LBN Legal business name Health On South Rx Llc
DBA Doing business as Medical Center Pharmacy
Authorized official Friedman, Jerry H
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Feb 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538380431 NPPES
Other 3922855 NDC
MEDICAID 1036746760001 NDC

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