Bill'S Shoprite Pharmacy Mt. Pocono

LBN: Bracey'S Mount Pocono, Inc.
Bill'S Shoprite Pharmacy Mt. Pocono is an health care organization with primary practice located at 89 State Route 940 , Mount Pocono PA 18344-1426. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Bracey'S Mount Pocono, Inc. can be contacted via phone (570) 839-5340, or through Figueroa-Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
89 State Route 940 Mount Pocono PA 18344-1426
Fax:
Website:
Authorized official contact:
Name: Figueroa-Rivera, Melissa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP481373 Pennsylvania

Profile Details

NPI number 1851476949
LBN Legal business name Bracey'S Mount Pocono, Inc.
DBA Doing business as Bill'S Shoprite Pharmacy Mt. Pocono
Authorized official Figueroa-Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 30th, 2011 - 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 1851476949 NPPES
Pennsylvania MEDICAID 1009983850001
Pennsylvania Other 3983233

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