Guardian Long Term Care Pharmacy Inc
LBN: Guardian Long Term Care Pharmacy Inc
Guardian Long Term Care Pharmacy Inc is an health care organization with primary practice located at 147 Old Newport St Ste 1, Nanticoke PA 18634-1327. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Guardian Long Term Care Pharmacy Inc can be contacted via phone (570) 812-0300, or through Rendos, Brian via phone (814) 503-7400.
Contact Information
Primary practice address
147 Old Newport St Ste 1
Nanticoke PA 18634-1327
Phone: (570) 812-0300
Fax: (570) 812-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP481661 | Pennsylvania |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1285768994 |
|---|---|
| LBN Legal business name | Guardian Long Term Care Pharmacy Inc |
| DBA Doing business as | |
| Authorized official | Rendos, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Dec 21st, 2007 - about 17 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 | 1285768994 | NPPES |
| Pennsylvania | MEDICAID | 1015064750002 | |
| Pennsylvania | Other | 3988079 | |
| Pennsylvania | Other | 3988079 |
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