Med-Fast Pharmacy

LBN: Med-Fast Pharmacy Inc
Med-Fast Pharmacy is an health care organization with primary practice located at 825 Beaver Grade Rd , Coraopolis PA 15108-2639. 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. Med-Fast Pharmacy Inc can be contacted via phone (412) 262-7979, or through Brosky, Lisa via phone (724) 378-5325.

Contact Information

Primary practice address
825 Beaver Grade Rd Coraopolis PA 15108-2639
Phone: (412) 262-7979
Fax: (412) 262-7957
Website:
Map and Directions
Authorized official contact:
Name: Brosky, Lisa
Phone: (724) 378-5325

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP414984L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174534382
LBN Legal business name Med-Fast Pharmacy Inc
DBA Doing business as Med-Fast Pharmacy
Authorized official Brosky, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 13th, 2011 - about 15 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 1174534382 NPPES
Pennsylvania MEDICAID 1007458630034
Pennsylvania Other 3969132

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