Depietros Pharmacy Llc

LBN: Depietros Pharmacy Llc
Depietros Pharmacy Llc is an health care organization with primary practice located at 617 3Rd St , Dunmore PA 18512-2849. 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. Depietros Pharmacy Llc can be contacted via phone (570) 209-7440, or through Depietro, Thomas via phone (570) 209-7440.

Contact Information

Primary practice address
617 3Rd St Dunmore PA 18512-2849
Phone: (570) 209-7440
Fax: (570) 209-7442
Website:
Map and Directions
Authorized official contact:
Name: Depietro, Thomas
Phone: (570) 209-7440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482235 Pennsylvania

Profile Details

NPI number 1720358344
LBN Legal business name Depietros Pharmacy Llc
DBA Doing business as Depietros Pharmacy Llc
Authorized official Depietro, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Oct 30th, 2012 - about 14 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 1720358344 NPPES
Other 3996646 NCPDP PROVIDER IDENTIFICATION NUMBER

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