Claysville Pharmacy, Llc

LBN: Claysville Pharmacy, Llc
Claysville Pharmacy, Llc is an health care organization with primary practice located at 305 Main St , Claysville PA 15323-3300. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Claysville Pharmacy, Llc can be contacted via phone (724) 663-7707, or through Gray, Miah via phone (724) 633-7707.

Contact Information

Primary practice address
305 Main St Claysville PA 15323-3300
Phone: (724) 663-7707
Fax: (724) 663-5994
Website:
Map and Directions
Authorized official contact:
Name: Gray, Miah
Phone: (724) 633-7707

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1558986687
LBN Legal business name Claysville Pharmacy, Llc
DBA Doing business as
Authorized official Gray, Miah
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 15th, 2020
Last updated Jul 17th, 2020 - about 4 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 1558986687 NPPES
Pennsylvania MEDICAID 1016973030001

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