Pine Grove Pharmacy
LBN: Gdd Pharmacy Services Inc
Pine Grove Pharmacy is an health care organization with primary practice located at 10 E Pottsville St , Pine Grove PA 17963-1100. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gdd Pharmacy Services Inc can be contacted via phone (570) 345-4422, or through Silbaugh, Darrin via phone (717) 732-2112.
Contact Information
Primary practice address
10 E Pottsville St
Pine Grove PA 17963-1100
Phone: (570) 345-4422
Fax: (570) 345-8708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PP411879L | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1295876217 |
|---|---|
| LBN Legal business name | Gdd Pharmacy Services Inc |
| DBA Doing business as | Pine Grove Pharmacy |
| Authorized official | Silbaugh, Darrin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Apr 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295876217 | NPPES |
| Other | 2160331 | PK | |
| MEDICAID | 0017986620004 | PK |
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