MEDICARE: BELL-EDGE DRUGS INC

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	PP410673L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3921497	OTHER	PA	NCPDP NUMBER

General Provider Information

NPI Number	:	1578677845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELL-EDGE DRUGS INC

Provider Business Mailing Address
First Line	:	5401 CHESTER AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19143-4913
Country	:	US
Telephone Number	:	215-729-4139
Fax Number	:	215-729-6373

Provider Business Practice Location Address
First Line	:	5401 CHESTER AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19143-4913
Country	:	US
Telephone Number	:	215-729-4139
Fax Number	:	215-729-6373

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL LEVIN
Credential	:
Telephone Number	:	215-729-4139

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	02/21/2008

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Directions to “BELL-EDGE DRUGS INC ” Practice Location

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