South Mountain Pharmacy

LBN: South Mountain Pharmacy
South Mountain Pharmacy is an health care organization with primary practice located at 2441 W Emmaus Ave , Allentown PA 18103-7234. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. South Mountain Pharmacy can be contacted via phone (610) 791-3917, or through Freeman, Lane M via phone (610) 791-3917.

Contact Information

Primary practice address
2441 W Emmaus Ave Allentown PA 18103-7234
Phone: (610) 791-3917
Fax: (610) 791-3962
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Lane M R.PH
Phone: (610) 791-3917

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PP410161L Pennsylvania

Profile Details

NPI number 1326112772
LBN Legal business name South Mountain Pharmacy
DBA Doing business as
Authorized official Freeman, Lane M R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1326112772 NPPES
Pennsylvania MEDICAID 0015684200002

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