Woodlyn Pharmacy Inc.

LBN: Radhik
Woodlyn Pharmacy Inc. is an health care organization with primary practice located at 1301 Jefferson Ave , Woodlyn PA 19094-1602. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Radhik can be contacted via phone (610) 833-5600, or through Patel, Jaimini via phone (610) 833-5600.

Contact Information

Primary practice address
1301 Jefferson Ave Woodlyn PA 19094-1602
Phone: (610) 833-5600
Fax: (610) 833-1954
Website:
Map and Directions
Authorized official contact:
Name: Patel, Jaimini
Phone: (610) 833-5600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP412941L Pennsylvania

Profile Details

NPI number 1124064613
LBN Legal business name Radhik
DBA Doing business as Woodlyn Pharmacy Inc.
Authorized official Patel, Jaimini
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 23rd, 2019 - about 6 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 1124064613 NPPES
Pennsylvania MEDICAID 0009385080001
Pennsylvania Other 2079440

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