East Side Pharmacy

LBN: Mikes Apothecary Inc
East Side Pharmacy is an health care organization with primary practice located at 708 E Washington St , New Castle PA 16101-4137. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mikes Apothecary Inc can be contacted via phone (724) 658-4557, or through Fornataro, Michael V via phone (724) 658-4557.

Contact Information

Primary practice address
708 E Washington St New Castle PA 16101-4137
Phone: (724) 658-4557
Fax: (724) 658-4547
Website:
Map and Directions
Authorized official contact:
Name: Fornataro, Michael V RPH
Phone: (724) 658-4557

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP410825L Pennsylvania

Profile Details

NPI number 1992920805
LBN Legal business name Mikes Apothecary Inc
DBA Doing business as East Side Pharmacy
Authorized official Fornataro, Michael V RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 21st, 2008 - about 16 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 1992920805 NPPES
Pennsylvania MEDICAID 1022164700001

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