MEDICARE: MILAN PHARMACY 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	332B00000X	Durable Medical Equipment & Medical Supplies	PP-415282-L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3972987	OTHER		NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699835942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILAN PHARMACY INC

Provider Business Mailing Address
First Line	:	2100 W CAMBRIA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-2632
Country	:	US
Telephone Number	:	215-226-2000
Fax Number	:	215-226-4896

Provider Business Practice Location Address
First Line	:	2100 W CAMBRIA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-2632
Country	:	US
Telephone Number	:	215-226-2000
Fax Number	:	215-226-4896

Authorized Official
Title or Position	:	MGR
Name	:	MR. MICHAEL SADEL
Credential	:	PHARMACIST
Telephone Number	:	215-226-2000

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	01/22/2020

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Directions to “MILAN PHARMACY INC ” Practice Location

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