Medmart Pharmacy
LBN: Prescriptions Plus Of Connellsville Inc
Medmart Pharmacy is an health care organization with primary practice located at 2618 Memorial Blvd Ste A , Connellsville PA 15425-1419. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Prescriptions Plus Of Connellsville Inc can be contacted via phone (724) 628-7500, or through Muccino, Tim via phone (724) 628-7500.
Contact Information
Primary practice address
2618 Memorial Blvd Ste A
Connellsville PA 15425-1419
Phone: (724) 628-7500
Fax: (724) 628-7550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP415760L | Pennsylvania |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1497790612 |
|---|---|
| LBN Legal business name | Prescriptions Plus Of Connellsville Inc |
| DBA Doing business as | Medmart Pharmacy |
| Authorized official | Muccino, Tim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Nov 30th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497790612 | NPPES |
| Other | 2085459 | PK | |
| MEDICAID | 100735070001 | PK |
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