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Contact Information

ACADEMY PHARMACY LLC
10101 ACADEMY RD
STE 105
PHILADELPHIA, PA19114-1120
 Phone: 215-632-2121
 Fax: 215-632-6107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACADEMY PHARMACY LLC

NPI Number 1326093170
LBN Legal business name ACADEMY PHARMACY LLC
Authorized official JOSEPH RALSTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 03/03/2021 - About 5 years ago
Identifiers
PA License # PP481582
PA Medicaid 1015794080001
Other 2087764 PK
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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