Mainline Pharmacy Hastings

LBN: 3Jb Llc
Mainline Pharmacy Hastings is an health care organization with primary practice located at 317 Beaver St , Hastings PA 16646-0520. 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. 3Jb Llc can be contacted via phone (814) 247-9959, or through Decriscio, Steven Joseph via phone (814) 408-6800.

Contact Information

Primary practice address
317 Beaver St Hastings PA 16646-0520
Phone: (814) 247-9959
Fax: (814) 247-8690
Website:
Map and Directions
Authorized official contact:
Name: Decriscio, Steven Joseph
Phone: (814) 408-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP411885L Pennsylvania

Profile Details

NPI number 1861565582
LBN Legal business name 3Jb Llc
DBA Doing business as Mainline Pharmacy Hastings
Authorized official Decriscio, Steven Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Jun 8th, 2022 - about 4 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 1861565582 NPPES
Pennsylvania MEDICAID 103037188-0005

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