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Contact Information

PHILLY METRO PHARMACY LLC
25 E WALNUT LN
PHILADELPHIA, PA19144-2002
 Phone: 267-331-5626
 Fax: 267-331-5743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHILLY METRO PHARMACY LLC

NPI # 1093092447
LBN Legal business name PHILLY METRO PHARMACY LLC
Authorized official ISRAEL OGUNLEYE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2011
Last updated 05/09/2012 - About 14 years ago
Identifiers
PA License # PP482159
Other 3996696 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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