Tibbotts Pharmacy Inc

LBN: Tibbotts Pharmacy Inc
Tibbotts Pharmacy Inc is an health care organization with primary practice located at 1104 W High St Ste1, Kimball Plaza, Ebensburg PA 15931-1707. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tibbotts Pharmacy Inc can be contacted via phone (814) 472-9390, or through Tibbott, Rowland via phone (814) 472-9390.

Contact Information

Primary practice address
1104 W High St Ste1, Kimball Plaza Ebensburg PA 15931-1707
Phone: (814) 472-9390
Fax: (814) 472-1166
Website:
Map and Directions
Authorized official contact:
Name: Tibbott, Rowland RPH
Phone: (814) 472-9390

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP412694L Pennsylvania

Profile Details

NPI number 1679655476
LBN Legal business name Tibbotts Pharmacy Inc
DBA Doing business as Tibbotts Pharmacy Inc
Authorized official Tibbott, Rowland RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 19th, 2011 - about 15 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 1679655476 NPPES
Pennsylvania MEDICAID 000933360
Pennsylvania Other 3911636

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