Evans City Pharmacy And Gift Shoppe

LBN: Evans City Drug Store Inc
Evans City Pharmacy And Gift Shoppe is an health care organization with primary practice located at 201 E Main St , Evans City PA 16033-1219. 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. Evans City Drug Store Inc can be contacted via phone (724) 538-4240, or through Mustovic, Jeffrey via phone (724) 538-4240.

Contact Information

Primary practice address
201 E Main St Evans City PA 16033-1219
Phone: (724) 538-4240
Fax: (724) 538-3826
Website:
Map and Directions
Authorized official contact:
Name: Mustovic, Jeffrey RPH
Phone: (724) 538-4240

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP412566L Pennsylvania

Profile Details

NPI number 1114096807
LBN Legal business name Evans City Drug Store Inc
DBA Doing business as Evans City Pharmacy And Gift Shoppe
Authorized official Mustovic, Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 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 1114096807 NPPES
Pennsylvania MEDICAID 0011557890001
Pennsylvania Other 2087018

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