Pleasant Ridge Manor Pharmacy

LBN: Pleasant Ridge Manor
Pleasant Ridge Manor Pharmacy is an health care organization with primary practice located at 8300 Ridge Rd , Girard PA 16417-8701. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Pleasant Ridge Manor can be contacted via phone (814) 474-5521, or through Smith, Robert via phone (814) 474-5521.

Contact Information

Primary practice address
8300 Ridge Rd Girard PA 16417-8701
Fax: (814) 474-9431
Website:
Authorized official contact:
Name: Smith, Robert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X HP416565L Pennsylvania

Profile Details

NPI number 1376659748
LBN Legal business name Pleasant Ridge Manor
DBA Doing business as Pleasant Ridge Manor Pharmacy
Authorized official Smith, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 11th, 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 1376659748 NPPES
Pennsylvania MEDICAID 1007744350006
Pennsylvania Other 2081200

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