Crestwood Pharmacy

LBN: Crestwood Pharmacy
Crestwood Pharmacy is an health care organization with primary practice located at 10 S Mountain Blvd , Mountain Top PA 18707-1123. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Crestwood Pharmacy can be contacted via phone (570) 474-5859, or through Hanlon, James Anthony via phone (570) 474-5859.

Contact Information

Primary practice address
10 S Mountain Blvd Mountain Top PA 18707-1123
Phone: (570) 474-5859
Fax: (570) 474-9594
Website:
Map and Directions
Authorized official contact:
Name: Hanlon, James Anthony RPH.
Phone: (570) 474-5859

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP410503L Pennsylvania

Profile Details

NPI number 1003987686
LBN Legal business name Crestwood Pharmacy
DBA Doing business as
Authorized official Hanlon, James Anthony RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 7th, 2008 - 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 1003987686 NPPES
Pennsylvania MEDICAID 000704536

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