Crestwood Pharmacy

LBN: Crestwood Pharmacy Llc
Crestwood Pharmacy is an health care organization with primary practice located at 10 S Mountain Blvd , Mountain Top PA 18707-1123. 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. Crestwood Pharmacy Llc can be contacted via phone (570) 474-5859, or through Orloski, Jessica via phone (570) 474-5859.

Contact Information

Primary practice address
10 S Mountain Blvd Mountain Top PA 18707-1123
Phone: (570) 474-5859
Fax: (570) 474-9594
Website:
Map and Directions
Authorized official contact:
Name: Orloski, Jessica
Phone: (570) 474-5859

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410503L Pennsylvania

Profile Details

NPI number 1588052872
LBN Legal business name Crestwood Pharmacy Llc
DBA Doing business as Crestwood Pharmacy
Authorized official Orloski, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2015
Last updated Apr 13th, 2017 - about 7 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 1588052872 NPPES
Pennsylvania MEDICAID 1029974200001
Pennsylvania Other 2151155

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