Oak Lane Pharmacy, Inc

NPI 1255588687 - Pharmacy - 3336C0003X

NPI Details
NPI 1255588687
Enumeration Date 08/27/2008
Last Updated 08/27/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JUANITA VIVIAN JUANITA
Position PHARMACY MANAGER
Phone (215) 924-9929
Fax
Practice Location
6724 OLD YORK RD
PHILA PA, 19126-2840, US
Phone (215) 924-9929
Fax
Business Location
6724 OLD YORK RD
PHILA PA, 19126-2840, US
Phone (215) 924-9929
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Pennsylvania
License Number PP481792
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According to our database, Oak Lane Pharmacy, Inc NPI is 1255588687, taxonomy code is 3336C0003X and license number is PP481792, license state is located at Pennsylvania. Oak Lane Pharmacy, Inc physically located at 6724 Old York Rd, Phila PA, 19126-2840. NPI Number 1033115704 has the healthcare provider type.

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1255588687 NPI number is provided on an as is basis without warranty of any kind. 1255588687 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Lane Pharmacy, Inc are for informational purposes only.