Mainline Pharmacy Altoona

LBN: 3Jb Llc
Mainline Pharmacy Altoona is an health care organization with primary practice located at 1667 Bellemeade Dr , Altoona PA 16602-7402. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 3Jb Llc can be contacted via phone (814) 944-9551, or through Decriscio, Steven Joseph via phone (814) 408-6800.

Contact Information

Primary practice address
1667 Bellemeade Dr Altoona PA 16602-7402
Phone: (814) 944-9551
Fax: (814) 944-8842
Website:
Map and Directions
Authorized official contact:
Name: Decriscio, Steven Joseph
Phone: (814) 408-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP413875L Pennsylvania

Profile Details

NPI number 1508082140
LBN Legal business name 3Jb Llc
DBA Doing business as Mainline Pharmacy Altoona
Authorized official Decriscio, Steven Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Sep 21st, 2022 - about 2 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 1508082140 NPPES
Pennsylvania MEDICAID 0010672920002

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