Costa Drugs Inc

LBN: Costa Drugs Inc
Costa Drugs Inc is an health care organization with primary practice located at 800 Main St , Dickson City PA 18519-1544. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Costa Drugs Inc can be contacted via phone (570) 489-5161, or through Chelland, George via phone (570) 961-1168.

Contact Information

Primary practice address
800 Main St Dickson City PA 18519-1544
Fax: (570) 307-0730
Website:
Authorized official contact:
Name: Chelland, George RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP411151L Pennsylvania

Profile Details

NPI number 1811069966
LBN Legal business name Costa Drugs Inc
DBA Doing business as Costa Drugs Inc
Authorized official Chelland, George RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 10th, 2013 - about 11 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 1811069966 NPPES
Other 2080190 PK
MEDICAID 1007612680004 PK

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