Individual provider · Type 1 NPI

Michael J. Lydon

Pharmacist · Philadelphia, PA

NPI number 1104493741 Active

Practice location

260 W Lehigh Ave
Philadelphia, PA 19133-3425

Call (215) 425-3784 Map

Fax (215) 425-0740

Mailing address

2213 N 11th St
Philadelphia, PA 19133-1001

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP455619 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104493741

Michael J. Lydon's National Provider Identifier is 1104493741, issued on Jun 10, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2021.