Med Center Pharmacy

LBN: Med Center Pharmacy
Med Center Pharmacy is an health care organization with primary practice located at Cloy Ave Extension , Tyrone PA 16686. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Med Center Pharmacy can be contacted via phone (814) 684-4212, or through Irvin, Daniel via phone (814) 684-4212.

Contact Information

Primary practice address
Cloy Ave Extension Tyrone PA 16686
Phone: (814) 684-4212
Fax: (814) 684-1410
Website:
Map and Directions
Authorized official contact:
Name: Irvin, Daniel RPH
Phone: (814) 684-4212

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP411803L Pennsylvania
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1376664755
LBN Legal business name Med Center Pharmacy
DBA Doing business as
Authorized official Irvin, Daniel RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - 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 1376664755 NPPES
Other 3939711 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0016864230001 OTHER ID NUMBER-COMMERCIAL NUMBER

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