Gaughn'S Drug Store

LBN: Gaughns Drug Store
Gaughn'S Drug Store is an health care organization with primary practice located at 348 Pennsylvania Ave W , Warren PA 16365-2424. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gaughns Drug Store can be contacted via phone (814) 723-2840, or through Newton, John Scott via phone (814) 723-2840.

Contact Information

Primary practice address
348 Pennsylvania Ave W Warren PA 16365-2424
Fax: (814) 723-3830
Website:
Authorized official contact:
Name: Newton, John Scott PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PP410847L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP410847L Pennsylvania

Profile Details

NPI number 1013940600
LBN Legal business name Gaughns Drug Store
DBA Doing business as Gaughn'S Drug Store
Authorized official Newton, John Scott PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 7th, 2023 - about last year

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 1013940600 NPPES
Pennsylvania MEDICAID 1011434770001
Pennsylvania Other 3927336

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