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PHILLY PHARMACY INC NPI 1205927746


NPI Information

NPI: 1205927746
Provider Name: PHILLY PHARMACY INC

Doing Business As: MEDICINE CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 36D0960791

Address:
551 W HIGH AVE
NEW PHILADELPHIA, OH
ZIP 44663
Phone: (330) 339-4466
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PHILLY PHARMACY INC is a community/retail pharmacy pharmacy in New Philadelphia, OH. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHILLY PHARMACY INC NPI is 1205927746. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Center Pharmacy.

The provider's business location address is:

551 W HIGH AVE
NEW PHILADELPHIA, OH
ZIP 44663
Phone: (330) 339-4466
Fax: (330) 339-9007

The provider's authorized official is Bradley P White .
The authorized official title is Vice President and has the following contact phone number (330) 455-9536.

The CLIA number assigned to this NPI record is 36D0960791 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies03-3-21701OHIONo
23336C0003XPharmacyCommunity/Retail Pharmacy03-3-21701OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10975655MEDICAIDOHIO
23643271OTHEROHIONAPB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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