Lecom Senior Living Center Pharmacy

LBN: Millcreek Manor Pharmacy
Lecom Senior Living Center Pharmacy is an health care organization with primary practice located at 5535 Peach St , Erie PA 16509-2603. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Millcreek Manor Pharmacy can be contacted via phone (814) 868-3869, or through Babiak, Jaime via phone (814) 868-3880.

Contact Information

Primary practice address
5535 Peach St Erie PA 16509-2603
Phone: (814) 868-3869
Fax: (814) 868-3405
Website:
Map and Directions
Authorized official contact:
Name: Babiak, Jaime
Phone: (814) 868-3880

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PP482569 Pennsylvania

Profile Details

NPI number 1114393790
LBN Legal business name Millcreek Manor Pharmacy
DBA Doing business as Lecom Senior Living Center Pharmacy
Authorized official Babiak, Jaime
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 11 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 1114393790 NPPES
Other 2151152 PK

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