Marienville Pharmacy

LBN: Clarion Development Corporation
Marienville Pharmacy is an health care organization with primary practice located at 120 Cherry St , Marienville PA 16239. 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. Clarion Development Corporation can be contacted via phone (814) 927-8700, or through Hawthorn, Jennifer via phone (814) 927-8700.

Contact Information

Primary practice address
120 Cherry St Marienville PA 16239
Fax:
Website:
Authorized official contact:
Name: Hawthorn, Jennifer

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP415304L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP415304L Pennsylvania

Profile Details

NPI number 1417044173
LBN Legal business name Clarion Development Corporation
DBA Doing business as Marienville Pharmacy
Authorized official Hawthorn, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jun 19th, 2009 - about 16 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 1417044173 NPPES
Pennsylvania MEDICAID 1007277670007

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