Clarks Summit State Hospital Pharmacy

LBN: Pa Deptment Of Public Welfare
Clarks Summit State Hospital Pharmacy is an health care organization with primary practice located at 1451 Hillside Dr , Clarks Summit PA 18411-9504. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Pa Deptment Of Public Welfare can be contacted via phone (570) 319-3520, or through Eisner, Patti A. via phone (717) 705-2774.

Contact Information

Primary practice address
1451 Hillside Dr Clarks Summit PA 18411-9504
Phone: (570) 319-3520
Fax: (570) 319-3510
Website:
Map and Directions
Authorized official contact:
Name: Eisner, Patti A.
Phone: (717) 705-2774

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PP481817 Pennsylvania
Suppliers / Long Term Care Pharmacy 3336L0003X PP481817 Pennsylvania

Profile Details

NPI number 1023268323
LBN Legal business name Pa Deptment Of Public Welfare
DBA Doing business as Clarks Summit State Hospital Pharmacy
Authorized official Eisner, Patti A.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Mar 19th, 2018 - about 6 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 1023268323 NPPES
Pennsylvania Other PP481817 PA PHARMACY PERMIT NUMBER

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