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MEDLY PHARMACY INC. NPI 1962488387


NPI Information

NPI: 1962488387
Provider Name: MEDLY PHARMACY INC.

Former Legal Business Name: BORINQUEN PHARMACY INC.

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
31 DEBEVOISE ST
BROOKLYN, NY
ZIP 11206
Phone: (718) 782-7539
Get Directions

MEDLY PHARMACY INC. is a pharmacy in Brooklyn, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MEDLY PHARMACY INC. NPI is 1962488387. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Borinquen Pharmacy Inc..

The provider's business location address is:

31 DEBEVOISE ST
BROOKLYN, NY
ZIP 11206-196
Phone: (718) 782-7539
Fax: (718) 782-7951

The provider's authorized official is Alison Farrell .
The authorized official title is Svp Pharmacy Services and has the following contact phone number (717) 254-9011.

The enumeration date for this NPI number is 12/18/2005 and was last updated on 5/16/2022.


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 SuppliesNo
2333600000XPharmacy023399NEW YORKYes

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
1023399OTHERNEW YORKPHARMACY LICENSE

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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