Linesville Pharmacy

LBN: Linesville Pharmacy Inc
Linesville Pharmacy is an health care organization with primary practice located at 123 W Erie St , Linesville PA 16424-9227. 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. Linesville Pharmacy Inc can be contacted via phone (814) 818-0010, or through Walberg, Bretton via phone (724) 612-2131.

Contact Information

Primary practice address
123 W Erie St Linesville PA 16424-9227
Phone: (814) 818-0010
Fax: (814) 818-0024
Website:
Map and Directions
Authorized official contact:
Name: Walberg, Bretton
Phone: (724) 612-2131

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482375 Pennsylvania

Profile Details

NPI number 1609219179
LBN Legal business name Linesville Pharmacy Inc
DBA Doing business as Linesville Pharmacy
Authorized official Walberg, Bretton
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2013
Last updated May 27th, 2022 - about 4 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 1609219179 NPPES
Other 2138478 PK
MEDICAID 1029111950001 PK

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