2209 Macdade, Llc

LBN: 2209 Macdade, Llc
2209 Macdade, Llc is an health care organization with primary practice located at 2209 Macdade Blvd , Holmes PA 19043-1222. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 2209 Macdade, Llc can be contacted via phone (610) 461-4123, or through Walker, Lillian via phone (610) 328-5778.

Contact Information

Primary practice address
2209 Macdade Blvd Holmes PA 19043-1222
Phone: (610) 461-4123
Fax: (610) 461-2796
Website:
Map and Directions
Authorized official contact:
Name: Walker, Lillian
Phone: (610) 328-5778

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP413732L Pennsylvania

Profile Details

NPI number 1093234171
LBN Legal business name 2209 Macdade, Llc
DBA Doing business as
Authorized official Walker, Lillian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2017
Last updated Apr 26th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093234171 NPPES
Pennsylvania MEDICAID 1034071350001
Pennsylvania Other 2171616

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