Mainline Pharmacy

LBN: Mainline Pharmacy Ebensburg Llc
Mainline Pharmacy is an health care organization with primary practice located at 3720 New Germany Rd , Ebensburg PA 15931-1862. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Health Educator, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mainline Pharmacy Ebensburg Llc can be contacted via phone (814) 472-9390, or through Decriscio, Steven Joseph via phone (814) 408-6800.

Contact Information

Primary practice address
3720 New Germany Rd Ebensburg PA 15931-1862
Phone: (814) 472-9390
Fax: (814) 472-1166
Website:
Map and Directions
Authorized official contact:
Name: Decriscio, Steven Joseph
Phone: (814) 408-6800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Pennsylvania
Other Service Providers / Health Educator 174H00000X Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X PP412694L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1184993040
LBN Legal business name Mainline Pharmacy Ebensburg Llc
DBA Doing business as Mainline Pharmacy
Authorized official Decriscio, Steven Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Apr 26th, 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 1184993040 NPPES
Pennsylvania MEDICAID 1026914940003
Pennsylvania Other 2133430

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