MAYFAIR DRUG STORE INC
7522 Frankford Ave
Philadelphia, PA 19136
215-338-2626
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | PA | PP481504 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1014416570001 | PA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3985085 | OTHER |