NPI 1255588687

Oak Lane Pharmacy, INC

Organisation Community/Retail Pharmacy Phila, PA

Practice location

Address: 6724 Old York Rd, Phila, PA 19126-2840
Phone: (215) 924-9929

Authorised official

Name: Juanita Vivian Rathfon
Title: Pharmacy Manager
Phone: (215) 924-9929

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PP481792 (PA)

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Registry record

NPI: 1255588687
Entity type: Organization
NPI issued: 27 Aug 2008
Record last updated: 27 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.