Derry Street Pharmacy Llc

LBN: Derry Street Pharmacy Llc
Derry Street Pharmacy Llc is an health care organization with primary practice located at 1304 Derry St , Harrisburg PA 17104-1184. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Derry Street Pharmacy Llc can be contacted via phone (717) 547-6219, or through Katla, Raju via phone (717) 547-6219.

Contact Information

Primary practice address
1304 Derry St Harrisburg PA 17104-1184
Fax:
Website:
Authorized official contact:
Name: Katla, Raju RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP482814 Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP482814 Pennsylvania

Profile Details

NPI number 1386126803
LBN Legal business name Derry Street Pharmacy Llc
DBA Doing business as
Authorized official Katla, Raju RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2018
Last updated Jan 5th, 2024 - about 2 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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