Provider Demographics
NPI:1578677845
Name:BELL-EDGE DRUGS INC
Entity Type:Organization
Organization Name:BELL-EDGE DRUGS INC
Other - Org Name:BELL-EDGE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-729-4139
Mailing Address - Street 1:5401 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-4913
Mailing Address - Country:US
Mailing Address - Phone:215-729-4139
Mailing Address - Fax:215-729-6373
Practice Address - Street 1:5401 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19143-4913
Practice Address - Country:US
Practice Address - Phone:215-729-4139
Practice Address - Fax:215-729-6373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP410673L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018838610001Medicaid
PA3921497OtherNCPDP NUMBER
PA0018838610001Medicaid