Pine Grove Pharmacy

LBN: Gdd Pharmacy Services Inc
Pine Grove Pharmacy is an health care organization with primary practice located at 10 E Pottsville St , Pine Grove PA 17963-1100. 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. Gdd Pharmacy Services Inc can be contacted via phone (570) 345-4422, or through Silbaugh, Darrin via phone (717) 732-2112.

Contact Information

Primary practice address
10 E Pottsville St Pine Grove PA 17963-1100
Fax: (570) 345-8708
Website:
Authorized official contact:
Name: Silbaugh, Darrin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PP411879L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295876217
LBN Legal business name Gdd Pharmacy Services Inc
DBA Doing business as Pine Grove Pharmacy
Authorized official Silbaugh, Darrin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2007
Last updated Apr 12th, 2024 - about 8 months 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 1295876217 NPPES
Other 2160331 PK
MEDICAID 0017986620004 PK

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