Pdc Pharmacy

LBN: Passavant Development Corporation
Pdc Pharmacy is an health care organization with primary practice located at 1611 Peach St Ste 400 , Erie PA 16501. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Passavant Development Corporation can be contacted via phone (814) 520-8680, or through Funkhouser, Christina via phone (412) 820-1010.

Contact Information

Primary practice address
1611 Peach St Ste 400 Erie PA 16501
Phone: (814) 520-8680
Fax: (814) 520-6386
Website:
Map and Directions
Authorized official contact:
Name: Funkhouser, Christina
Phone: (412) 820-1010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093291023
LBN Legal business name Passavant Development Corporation
DBA Doing business as Pdc Pharmacy
Authorized official Funkhouser, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2018
Last updated Feb 22nd, 2019 - 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 1093291023 NPPES
Pennsylvania MEDICAID 1007303880006

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