Waltmire Pharmacy

LBN: Momba Pharmacy Services Llc
Waltmire Pharmacy is an health care organization with primary practice located at 1435 Spring Garden Ave , Pittsburgh PA 15212-3711. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Momba Pharmacy Services Llc can be contacted via phone (412) 323-1801, or through Depasquale, Fred via phone (412) 559-5082.

Contact Information

Primary practice address
1435 Spring Garden Ave Pittsburgh PA 15212-3711
Phone: (412) 323-1801
Fax: (412) 323-1687
Website:
Map and Directions
Authorized official contact:
Name: Depasquale, Fred
Phone: (412) 559-5082

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP411539L Pennsylvania

Profile Details

NPI number 1386041655
LBN Legal business name Momba Pharmacy Services Llc
DBA Doing business as Waltmire Pharmacy
Authorized official Depasquale, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2014
Last updated Jul 20th, 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 1386041655 NPPES
Pennsylvania MEDICAID 102673880
Pennsylvania Other 2149578

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