Guardian Long Term Care Pharmacy, Inc

LBN: Guardian Healthcare Pharmacy, Llc
Guardian Long Term Care Pharmacy, Inc is an health care organization with primary practice located at 123 Brubaker Rd , Brockway PA 15824-2505. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Healthcare Pharmacy, Llc can be contacted via phone (888) 503-7474, or through Varacallo, Matthew J via phone (888) 503-7474.

Contact Information

Primary practice address
123 Brubaker Rd Brockway PA 15824-2505
Phone: (888) 503-7474
Fax: (877) 371-5677
Website:
Map and Directions
Authorized official contact:
Name: Varacallo, Matthew J PHARM D
Phone: (888) 503-7474

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X PP481523 Pennsylvania

Profile Details

NPI number 1316952948
LBN Legal business name Guardian Healthcare Pharmacy, Llc
DBA Doing business as Guardian Long Term Care Pharmacy, Inc
Authorized official Varacallo, Matthew J PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 14th, 2019 - about 5 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 1316952948 NPPES
Pennsylvania MEDICAID 1015064750001
Pennsylvania MEDICAID 02163160000014708
Pennsylvania Other 2087733

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