Mainline Pharmacy - Blairsville
LBN: 3Jb Llc
Mainline Pharmacy - Blairsville is an health care organization with primary practice located at 315 E Market St , Blairsville PA 15717-1122. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
3Jb Llc can be contacted via phone (724) 459-7400, or through Decriscio, Steven Joseph via phone (814) 408-6800.
Contact Information
Primary practice address
315 E Market St
Blairsville PA 15717-1122
Phone: (724) 459-7400
Fax: (724) 459-8207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP412331L | Pennsylvania |
Profile Details
| NPI number | 1780600114 |
|---|---|
| LBN Legal business name | 3Jb Llc |
| DBA Doing business as | Mainline Pharmacy - Blairsville |
| Authorized official | Decriscio, Steven Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780600114 | NPPES |
| Pennsylvania | MEDICAID | 1030371880001 | |
| Pennsylvania | Other | 2154605 | |
| Pennsylvania | Other | 0178510001 | |
| Pennsylvania | Other | 7478670001 |
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