Stroud Compounding And Wellness Drugstore, Corp

LBN: Stroud Compounding And Wellness Drugstore Corp
Stroud Compounding And Wellness Drugstore, Corp is an health care organization with primary practice located at 1619 N 9Th St Ste 3, Stroudsburg PA 18360-6501. 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. Stroud Compounding And Wellness Drugstore Corp can be contacted via phone (570) 476-6936, or through Chikwanha, James via phone (570) 476-6936.

Contact Information

Primary practice address
1619 N 9Th St Ste 3 Stroudsburg PA 18360-6501
Phone: (570) 476-6936
Fax: (570) 476-6938
Website:
Map and Directions
Authorized official contact:
Name: Chikwanha, James
Phone: (570) 476-6936

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP481651 Pennsylvania
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366500431
LBN Legal business name Stroud Compounding And Wellness Drugstore Corp
DBA Doing business as Stroud Compounding And Wellness Drugstore, Corp
Authorized official Chikwanha, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Apr 25th, 2022 - about 2 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 1366500431 NPPES
Other 2136912 PK
MEDICAID 1027704260001 PK

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