Dierken'S Pharmacy

LBN: Krynicki Inc
Dierken'S Pharmacy is an health care organization with primary practice located at 100 E Main St , Monongahela PA 15063-2360. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Krynicki Inc can be contacted via phone (724) 258-5530, or through Mcdermott, Ron via phone (330) 318-3926.

Contact Information

Primary practice address
100 E Main St Monongahela PA 15063-2360
Fax: (724) 258-4448
Website:
Authorized official contact:
Name: Mcdermott, Ron

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP410597L Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1144411430
LBN Legal business name Krynicki Inc
DBA Doing business as Dierken'S Pharmacy
Authorized official Mcdermott, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Mar 8th, 2022 - about 2 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 1144411430 NPPES
Other 2144894 PK
MEDICAID 102896517-0001 PK
Other 747109 PK

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