Fairmount Pharmacy Services Llc
LBN: Fairmount Pharmacy Services Llc
Fairmount Pharmacy Services Llc is an health care organization with primary practice located at 1900 Green St Suite 2F, Philadelphia PA 19130-3207. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Fairmount Pharmacy Services Llc can be contacted via phone (215) 564-9300, or through Volgraf, Gerard via phone (215) 620-0019.
Contact Information
Primary practice address
1900 Green St Suite 2F
Philadelphia PA 19130-3207
Phone: (215) 564-9300
Fax: (215) 567-1931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PP481626 | Pennsylvania |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1295824845 |
|---|---|
| LBN Legal business name | Fairmount Pharmacy Services Llc |
| DBA Doing business as | Fairmount Pharmacy Services Llc |
| Authorized official | Volgraf, Gerard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Dec 13th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295824845 | NPPES |
| Pennsylvania | MEDICAID | 1017523250001 | |
| Pennsylvania | Other | 2081667 |
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