Provider Demographics
NPI:1295978898
Name:MC DRUGS INC
Entity type:Organization
Organization Name:MC DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:PETRUZZELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-483-0900
Mailing Address - Street 1:7700 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3140
Mailing Address - Country:US
Mailing Address - Phone:215-483-0900
Mailing Address - Fax:215-483-1426
Practice Address - Street 1:7700 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-3140
Practice Address - Country:US
Practice Address - Phone:215-483-0900
Practice Address - Fax:215-483-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
PAPP481883333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2119710OtherPK
3991975OtherNCPDP PROVIDER IDENTIFICATION NUMBER