Shady Maple Pharmacy At Garden Spot Village

LBN: Shady Maple Pharmacy At Garden Spot Village
Shady Maple Pharmacy At Garden Spot Village is an health care organization with primary practice located at 433 S Kinzer Ave , New Holland PA 17557-8736. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Shady Maple Pharmacy At Garden Spot Village can be contacted via phone (717) 355-6155, or through Martin, Elwood via phone (717) 354-4891.

Contact Information

Primary practice address
433 S Kinzer Ave New Holland PA 17557-8736
Fax: (717) 355-6156
Website:
Authorized official contact:
Name: Martin, Elwood

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP482276 Pennsylvania

Profile Details

NPI number 1376987313
LBN Legal business name Shady Maple Pharmacy At Garden Spot Village
DBA Doing business as Shady Maple Pharmacy At Garden Spot Village
Authorized official Martin, Elwood
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2013
Last updated Apr 22nd, 2013 - about 11 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 1376987313 NPPES
Other 2139988 PK

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