Penn Traffic Company, The

LBN: Penn Traffic Company, The
Penn Traffic Company, The is an health care organization with primary practice located at 1200 State Fair Blvd , Syracuse NY 13209-1070. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Penn Traffic Company, The can be contacted via phone (315) 461-2600, or through Mahoney, Daniel J. via phone (315) 461-2347.

Contact Information

Primary practice address
1200 State Fair Blvd Syracuse NY 13209-1070
Phone: (315) 461-2600
Fax: (315) 461-2304
Website:
Map and Directions
Authorized official contact:
Name: Mahoney, Daniel J. J.D.
Phone: (315) 461-2347

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1023281540
LBN Legal business name Penn Traffic Company, The
DBA Doing business as
Authorized official Mahoney, Daniel J. J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 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 1023281540 NPPES
Other 449 NCPDP CHAIN CODE
Other 454 NCPDP CHAIN CODE
Other 452 NCPDP CHAIN CODE
Other 993 NCPDP CHAIN CODE

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