Mainline Pharmacy Harrison City

LBN: 3Jb Llc
Mainline Pharmacy Harrison City is an health care organization with primary practice located at 2106 Route 130 , Harrison City PA 15636-1516. 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) 744-3300, or through Decriscio, Steven J via phone (814) 408-6800.

Contact Information

Primary practice address
2106 Route 130 Harrison City PA 15636-1516
Phone: (724) 744-3300
Fax: (724) 744-2351
Website:
Map and Directions
Authorized official contact:
Name: Decriscio, Steven J
Phone: (814) 408-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP412338L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1811992001
LBN Legal business name 3Jb Llc
DBA Doing business as Mainline Pharmacy Harrison City
Authorized official Decriscio, Steven J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
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 1811992001 NPPES
Pennsylvania MEDICAID 103037188-0004

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