Rezk Pharmacy Llc

LBN: Rezk Pharmacy Llc
Rezk Pharmacy Llc is an health care organization with primary practice located at 204 South Main St Suite 100, Carrolltown PA 15722. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Rezk Pharmacy Llc can be contacted via phone (814) 344-2200, or through Rezk, Richard Joseph via phone (814) 243-4915.

Contact Information

Primary practice address
204 South Main St Suite 100 Carrolltown PA 15722
Phone: (814) 344-2200
Fax: (814) 344-2600
Website:
Map and Directions
Authorized official contact:
Name: Rezk, Richard Joseph PHARM D
Phone: (814) 243-4915

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X PP481996 Pennsylvania

Profile Details

NPI number 1275856148
LBN Legal business name Rezk Pharmacy Llc
DBA Doing business as
Authorized official Rezk, Richard Joseph PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Feb 13th, 2013 - about 13 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 1275856148 NPPES
Pennsylvania MEDICAID 1024911070001

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