| NPI | 1962488387 |
|---|---|
| Former Legal Business Name | BORINQUEN PHARMACY INC. |
| Doing Business As | MEDLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALISON FARRELL SVP Pharmacy Services 717-254-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023399) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-18 |
| Last Update Date | 2022-05-16 |