Chestnut Ridge Pharmacy Llc

LBN: Chestnut Ridge Pharmacy Llc
Chestnut Ridge Pharmacy Llc is an health care organization with primary practice located at 2262 Quaker Valley Rd , Fishertown PA 15539. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Chestnut Ridge Pharmacy Llc can be contacted via phone (814) 839-9950, or through Waugerman, Scott via phone (814) 839-9950.

Contact Information

Primary practice address
2262 Quaker Valley Rd Fishertown PA 15539
Phone: (814) 839-9950
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waugerman, Scott
Phone: (814) 839-9950

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP481172 Pennsylvania

Profile Details

NPI number 1184787889
LBN Legal business name Chestnut Ridge Pharmacy Llc
DBA Doing business as
Authorized official Waugerman, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 22nd, 2014 - about 12 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 1184787889 NPPES
Pennsylvania MEDICAID 01917280

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