Mifflinburg Pharmacy
LBN: Jason Kramer
Mifflinburg Pharmacy is an health care organization with primary practice located at 2 Forest Hill Rd , Mifflinburg PA 17844-1323. 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.
Jason Kramer can be contacted via phone (570) 966-5001, or through Kramer, Jason via phone (570) 966-5001.
Contact Information
Primary practice address
2 Forest Hill Rd
Mifflinburg PA 17844-1323
Phone: (570) 966-5001
Fax: (570) 966-7046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP481330 | Pennsylvania |
Profile Details
| NPI number | 1770642589 |
|---|---|
| LBN Legal business name | Jason Kramer |
| DBA Doing business as | Mifflinburg Pharmacy |
| Authorized official | Kramer, Jason RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Jun 28th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770642589 | NPPES |
| Other | 2086793 | PK | |
| MEDICAID | 1008428760001 | PK |
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