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NPI Code Detail

MEDICARE: ACADEMY PHARMACY LLC

MEDICARE: ACADEMY PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPP481582PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12087764OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326093170
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADEMY PHARMACY LLC
Provider Business Mailing Address
First Line : 10101 ACADEMY RD
Second Line : STE 105
City : PHILADELPHIA
State : PA
Zip : 19114-1120
Country : US
Telephone Number : 215-632-2121
Fax Number : 215-632-6107
Provider Business Practice Location Address
First Line : 10101 ACADEMY RD
Second Line : STE 105
City : PHILADELPHIA
State : PA
Zip : 19114-1120
Country : US
Telephone Number : 215-632-2121
Fax Number : 215-632-6107
Authorized Official
Title or Position : OWNER
Name : JOSEPH RALSTON
Credential : RPH
Telephone Number : 215-632-2121
Provider Enumeration Date : 05/23/2006
Last Update Date : 03/03/2021

Similar Medicare Providers

1720036239 — YANA A. SAKNOVSKY D.O.
Practice Location Address:
10101 ACADEMY RD , SUITE 104
PHILADELPHIA, PA
19114-1120
Practice Phone: 215-632-4000
Practice Fax: 215-632-1661
1386692697 — HERBERT A. ZEMBLE D.O.
Practice Location Address:
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Practice Phone: 215-632-4000
Practice Fax: 215-632-1661
1457300733 — IVAN A. DONER D.O.
Practice Location Address:
10101 ACADEMY RD , SUITE 104
PHILADELPHIA, PA
19114-1120
Practice Phone: 215-632-4000
Practice Fax: 215-632-1661
1093739898 — MR. JOSEPH P RALSTON JR. RPH
Practice Location Address:
10101 ACADEMY RD STE 105
PHILADELPHIA, PA
19114-1120
Practice Phone: 215-632-2121
Practice Fax: 215-632-6107
1114930187 — DR. JAMIL M ZAID D.C.
Practice Location Address:
10101 ACADEMY RD , SUITE 102
PHILADELPHIA, PA
19114-1120
Practice Phone: 215-824-1000
Practice Fax: 215-824-4460
1225041411 — NORTHEAST CHIROPRACTIC ASSOCIATES, P.C.
Practice Location Address:
10101 ACADEMY RD , SUITE 102
PHILADELPHIA, PA
19114-1120
Practice Phone: 215-824-1000
Practice Fax: 215-824-4460

Directions to “ACADEMY PHARMACY LLC ” Practice Location

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