Olde Philly Pharmacy - Fishtown
LBN: My Philly Pharmacy Inc
Olde Philly Pharmacy - Fishtown is an health care organization with primary practice located at 3140 Willits Rd , Philadelphia PA 19136-1116. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
My Philly Pharmacy Inc can be contacted via phone (267) 686-2454, or through Cirillo, James via phone (609) 560-8082.
Contact Information
Primary practice address
3140 Willits Rd
Philadelphia PA 19136-1116
Phone: (267) 686-2454
Fax: (267) 773-7832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP482381 | Pennsylvania |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1356789051 |
|---|---|
| LBN Legal business name | My Philly Pharmacy Inc |
| DBA Doing business as | Olde Philly Pharmacy - Fishtown |
| Authorized official | Cirillo, James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Sep 1st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356789051 | NPPES |
| Other | 2140615 | PK | |
| MEDICAID | 1028277800001 | PK |
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