River Valley Pharmacy

LBN: Susquehanna Community Health And Dental Clinic, Inc
River Valley Pharmacy is an health care organization with primary practice located at 471 Hepburn St , Williamsport PA 17701-6122. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Susquehanna Community Health And Dental Clinic, Inc can be contacted via phone (570) 567-5400, or through Houseknecht, Max via phone (570) 567-5418.

Contact Information

Primary practice address
471 Hepburn St Williamsport PA 17701-6122
Phone: (570) 567-5400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Houseknecht, Max
Phone: (570) 567-5418

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1386106680
LBN Legal business name Susquehanna Community Health And Dental Clinic, Inc
DBA Doing business as River Valley Pharmacy
Authorized official Houseknecht, Max
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2019
Last updated Nov 4th, 2019 - 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 1386106680 NPPES
Pennsylvania MEDICAID 1024416060004

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