Moshannon Valley Pharmacy Inc

LBN: Moshannon Valley Pharmacy Inc
Moshannon Valley Pharmacy Inc is an health care organization with primary practice located at 208 Medical Center Dr , Philipsburg PA 16866-1948. 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. Moshannon Valley Pharmacy Inc can be contacted via phone (814) 342-3750, or through Faust, William Max via phone (814) 684-0230.

Contact Information

Primary practice address
208 Medical Center Dr Philipsburg PA 16866-1948
Fax: (814) 342-6323
Website:
Authorized official contact:
Name: Faust, William Max

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP411114L Pennsylvania

Profile Details

NPI number 1487677530
LBN Legal business name Moshannon Valley Pharmacy Inc
DBA Doing business as Moshannon Valley Pharmacy Inc
Authorized official Faust, William Max
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 15th, 2020 - about 6 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 1487677530 NPPES
Other 2085621 PK
MEDICAID 1007479930008 PK

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