MEDICARE: OXFORD PHARMACY

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
1	3336C0003X	Community/Retail Pharmacy	PP481440	PA
2	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2087205	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174559801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OXFORD PHARMACY

Provider Business Mailing Address
First Line	:	PO BOX 970
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-0668
Country	:	US
Telephone Number	:	215-425-1422
Fax Number	:	215-425-1433

Provider Business Practice Location Address
First Line	:	3251 N FRONT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140
Country	:	US
Telephone Number	:	215-425-1422
Fax Number	:	215-425-1433

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	KEVIN PHAM
Credential	:	MPH
Telephone Number	:	215-425-1422

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	03/26/2025

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Directions to “OXFORD PHARMACY ” Practice Location

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