<Unavail>

LBN: Madjak Inc
<Unavail> is an health care organization with primary practice located at 730 S Main St , Old Forge PA 18518-1459. 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. Madjak Inc can be contacted via phone (570) 457-3372, or through Bilski, Albert S via phone (570) 457-3372.

Contact Information

Primary practice address
730 S Main St Old Forge PA 18518-1459
Phone: (570) 457-3372
Fax: (570) 457-2679
Website:
Map and Directions
Authorized official contact:
Name: Bilski, Albert S RPH
Phone: (570) 457-3372

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP415319L Pennsylvania

Profile Details

NPI number 1407900855
LBN Legal business name Madjak Inc
DBA Doing business as <Unavail>
Authorized official Bilski, Albert S RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 7th, 2023 - about 3 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 1407900855 NPPES
Pennsylvania MEDICAID 0016612640002
Pennsylvania Other 3973410

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