Ebensburg Center Pharmacy

LBN: Pennsylvania Department Of Public Welfare
Ebensburg Center Pharmacy is an health care organization with primary practice located at 4501 Admiral Peary Hwy , Ebensburg PA 15931-4332. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Pennsylvania Department Of Public Welfare can be contacted via phone (814) 472-0495, or through Griffith, Christine via phone (814) 472-0498.

Contact Information

Primary practice address
4501 Admiral Peary Hwy Ebensburg PA 15931-4332
Fax: (814) 472-0572
Website:
Authorized official contact:
Name: Griffith, Christine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP417043L Pennsylvania
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1831132174
LBN Legal business name Pennsylvania Department Of Public Welfare
DBA Doing business as Ebensburg Center Pharmacy
Authorized official Griffith, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 25th, 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 1831132174 NPPES
Pennsylvania MEDICAID 0743150
Pennsylvania Other 3951969

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