Costa Drugs Inc

LBN: Costa Drugs Inc
Costa Drugs Inc is an health care organization with primary practice located at 100 Old Lackawanna Trl , Clarks Summit PA 18411-9108. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Costa Drugs Inc can be contacted via phone (570) 587-4717, or through Cellerari, Jack L via phone (570) 587-4717.

Contact Information

Primary practice address
100 Old Lackawanna Trl Clarks Summit PA 18411-9108
Phone: (570) 587-4717
Fax: (570) 587-2619
Website:
Map and Directions
Authorized official contact:
Name: Cellerari, Jack L RPH
Phone: (570) 587-4717

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PP410982L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP410982L Pennsylvania

Profile Details

NPI number 1891867966
LBN Legal business name Costa Drugs Inc
DBA Doing business as
Authorized official Cellerari, Jack L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 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 1891867966 NPPES
Pennsylvania Other 3938721 NCPDP NUMBER
Pennsylvania MEDICAID 0005826490002 NCPDP NUMBER
Pennsylvania Other 0393872 NCPDP NUMBER

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