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Woodlyn Pharmacy Inc

Woodlyn Pharmacy Inc is a health care provider in Woodlyn, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1301 Jefferson Ave, Woodlyn, PA 19094-1602, US
Practice Location Phone610-833-5600
Practice Location Fax610-833-1954
Legal Business NameWOODLYN PHARMACY INC
Other Organization NameWOODLYN PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1124064613
Entity TypeOrganization
Enumeration Date ? Jun 21, 2006
Last Update Date ? Apr 1, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Woodlyn Pharmacy Inc

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy PP412941LPennsylvania

legacy-id-icon Legacy Provider IDs of Woodlyn Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
2079440OtherPK
0009385080001PennsylvaniaMedicaid

official-icon Authorized Official of Woodlyn Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Woodlyn Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Harold Sparkler (RPH)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number610-833-5600