Berlin Pharmacy

LBN: Jonico Inc
Berlin Pharmacy is an health care organization with primary practice located at 413 Broadway St , Berlin PA 15530-1001. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jonico Inc can be contacted via phone (814) 267-4013, or through Jacobs, Jonathan D via phone (814) 445-6089.

Contact Information

Primary practice address
413 Broadway St Berlin PA 15530-1001
Fax:
Website:
Authorized official contact:
Name: Jacobs, Jonathan D RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP412109L Pennsylvania

Profile Details

NPI number 1396894564
LBN Legal business name Jonico Inc
DBA Doing business as Berlin Pharmacy
Authorized official Jacobs, Jonathan D RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1396894564 NPPES
Pennsylvania MEDICAID 1007513050003

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