| NPI | 1174534382 |
|---|---|
| Doing Business As | MED-FAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA BROSKY Billing Manager 724-378-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: PA PP414984L) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-01-13 |