Everett Pharmacy

LBN: Main Street Drug Store Inc
Everett Pharmacy is an health care organization with primary practice located at 108 E Main St , Everett PA 15537-1258. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Main Street Drug Store Inc can be contacted via phone (814) 652-5532, or through Iseminger, Karen via phone (814) 652-5532.

Contact Information

Primary practice address
108 E Main St Everett PA 15537-1258
Phone: (814) 652-5532
Fax: (814) 652-2927
Website:
Map and Directions
Authorized official contact:
Name: Iseminger, Karen
Phone: (814) 652-5532

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410712L Pennsylvania
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1922247097
LBN Legal business name Main Street Drug Store Inc
DBA Doing business as Everett Pharmacy
Authorized official Iseminger, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2009
Last updated Dec 19th, 2012 - about 14 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 1922247097 NPPES
Pennsylvania MEDICAID 1022770360001
Pennsylvania Other 3991761
Pennsylvania MEDICAID 559319

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