Pocono Pharmacy

LBN: Pocono Pharmacy Inc
Pocono Pharmacy is an health care organization with primary practice located at 300 Commerce Blvd Ste 130 , Stroudsburg PA 18360-6215. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pocono Pharmacy Inc can be contacted via phone (570) 421-6789, or through Narramneni, Venugopal via phone (570) 421-6789.

Contact Information

Primary practice address
300 Commerce Blvd Ste 130 Stroudsburg PA 18360-6215
Phone: (570) 421-6789
Fax: (570) 421-9992
Website:
Map and Directions
Authorized official contact:
Name: Narramneni, Venugopal
Phone: (570) 421-6789

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP482715 Pennsylvania

Profile Details

NPI number 1134652902
LBN Legal business name Pocono Pharmacy Inc
DBA Doing business as Pocono Pharmacy
Authorized official Narramneni, Venugopal
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2017
Last updated Jul 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 1134652902 NPPES
Other 2169385 PK
MEDICAID 1033143120001 PK

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