Crest Center Pharmacy

LBN: Crest Center Pharmacy
Crest Center Pharmacy is an health care organization with primary practice located at 240 Fitzwatertown Rd , Willow Grove PA 19090-2332. 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. Crest Center Pharmacy can be contacted via phone (215) 658-1216, or through Mittal, David via phone (215) 915-6075.

Contact Information

Primary practice address
240 Fitzwatertown Rd Willow Grove PA 19090-2332
Phone: (215) 658-1216
Fax: (610) 658-1217
Website:
Map and Directions
Authorized official contact:
Name: Mittal, David
Phone: (215) 915-6075

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481086 Pennsylvania

Profile Details

NPI number 1851392179
LBN Legal business name Crest Center Pharmacy
DBA Doing business as
Authorized official Mittal, David
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Nov 13th, 2007 - about 17 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 1851392179 NPPES
Pennsylvania MEDICAID 1007428070002
Pennsylvania Other 3979703

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