Ethical Factor Rx

LBN: Ethical Factor Rx Llc
Ethical Factor Rx is an health care organization with primary practice located at 4213 Birney Ave Suite 4, Moosic PA 18507. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Ethical Factor Rx Llc can be contacted via phone (570) 606-3622, or through Tomcykoski, Lisa F via phone (570) 606-3622.

Contact Information

Primary practice address
4213 Birney Ave Suite 4 Moosic PA 18507
Phone: (570) 606-3622
Fax: (570) 371-6317
Website:
Map and Directions
Authorized official contact:
Name: Tomcykoski, Lisa F PHARMD
Phone: (570) 606-3622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301009850 Michigan
Suppliers / Pharmacy 333600000X 28RO00071900 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X P06270 Maryland
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X PP482191 Pennsylvania
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1871881573
LBN Legal business name Ethical Factor Rx Llc
DBA Doing business as Ethical Factor Rx
Authorized official Tomcykoski, Lisa F PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2011
Last updated Nov 19th, 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 1871881573 NPPES
Pennsylvania MEDICAID 102678278 0002
Pennsylvania MEDICAID 1871881573
Pennsylvania MEDICAID 1871881573
Pennsylvania MEDICAID 1871881573
Pennsylvania MEDICAID 0298883
Pennsylvania MEDICAID 03629343
Pennsylvania MEDICAID 200595730A
Pennsylvania Other 2131101
Pennsylvania MEDICAID 1871881573
Pennsylvania MEDICAID 1871881573
Pennsylvania MEDICAID 4222598 00

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