<Unavail>

LBN: Tri-Valley Pharmacy, Incorporated
<Unavail> is an health care organization with primary practice located at 101 S Tulpehocken St , Pine Grove PA 17963-1011. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Tri-Valley Pharmacy, Incorporated can be contacted via phone (570) 345-4966, or through Kline, Jeffrey D. via phone (570) 345-4966.

Contact Information

Primary practice address
101 S Tulpehocken St Pine Grove PA 17963-1011
Phone: (570) 345-4966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kline, Jeffrey D.
Phone: (570) 345-4966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP415649L Pennsylvania

Profile Details

NPI number 1013916170
LBN Legal business name Tri-Valley Pharmacy, Incorporated
DBA Doing business as <Unavail>
Authorized official Kline, Jeffrey D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Nov 21st, 2012 - about 14 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 1013916170 NPPES
Pennsylvania MEDICAID 1007504240005

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