Mainline Pharmacy - Somerset

LBN: 3Jb Llc
Mainline Pharmacy - Somerset is an health care organization with primary practice located at 168 W Main St , Somerset PA 15501-2038. 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) 445-6511, or through Decriscio, Steven Joseph via phone (814) 408-6800.

Contact Information

Primary practice address
168 W Main St Somerset PA 15501-2038
Phone: (814) 445-6511
Fax: (814) 445-5908
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 PP412340L Pennsylvania

Profile Details

NPI number 1598771263
LBN Legal business name 3Jb Llc
DBA Doing business as Mainline Pharmacy - Somerset
Authorized official Decriscio, Steven Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 8th, 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 1598771263 NPPES
Pennsylvania MEDICAID 103037188-0002
Pennsylvania Other 3900164

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