Forlenza'S Nutritional-Wellness Center And Compounding Pharmacy

LBN: Forlenza'S Pharmacy
Forlenza'S Nutritional-Wellness Center And Compounding Pharmacy is an health care organization with primary practice located at 531 Main St , Edwardsville PA 18704-2597. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Forlenza'S Pharmacy can be contacted via phone (570) 288-6626, or through Forlenza, John Paul via phone (570) 288-6626.

Contact Information

Primary practice address
531 Main St Edwardsville PA 18704-2597
Fax: (570) 288-9764
Website:
Authorized official contact:
Name: Forlenza, John Paul P.D.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PP-411080-L Pennsylvania

Profile Details

NPI number 1376547265
LBN Legal business name Forlenza'S Pharmacy
DBA Doing business as Forlenza'S Nutritional-Wellness Center And Compounding Pharmacy
Authorized official Forlenza, John Paul P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376547265 NPPES
Pennsylvania MEDICAID 24-001095690-0002
Pennsylvania Other A08000792
Pennsylvania Other 39-54496
Pennsylvania MEDICAID 24001095690-0001

Popular Providers