<Unavail>

LBN: Claysville Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 205 S Arch St , Connellsville PA 15425-3528. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Claysville Pharmacy Llc can be contacted via phone (724) 626-1091, or through Cushey, Erich via phone (724) 663-7707.

Contact Information

Primary practice address
205 S Arch St Connellsville PA 15425-3528
Phone: (724) 626-1091
Fax: (724) 626-0162
Website:
Map and Directions
Authorized official contact:
Name: Cushey, Erich RPH
Phone: (724) 663-7707

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X PP412619L Pennsylvania

Profile Details

NPI number 1669900932
LBN Legal business name Claysville Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Cushey, Erich RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2017
Last updated Jul 8th, 2026 - about 4 months 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 1669900932 NPPES
Other 2169336 PK
MEDICAID 1024774490002 PK

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