Oak Lane Pharmacy, Inc

LBN: Oak Lane Pharmacy, Inc
Oak Lane Pharmacy, Inc is an health care organization with primary practice located at 6724 Old York Rd , Phila PA 19126-2840. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Oak Lane Pharmacy, Inc can be contacted via phone (215) 924-9929, or through Rathfon, Juanita Vivian via phone (215) 924-9929.

Contact Information

Primary practice address
6724 Old York Rd Phila PA 19126-2840
Fax:
Website:
Authorized official contact:
Name: Rathfon, Juanita Vivian

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP481792 Pennsylvania

Profile Details

NPI number 1255588687
LBN Legal business name Oak Lane Pharmacy, Inc
DBA Doing business as
Authorized official Rathfon, Juanita Vivian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255588687 NPPES
Pennsylvania MEDICAID 1021085070001

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