Nickman'S Drug #129

LBN: Wesclare Corporation
Nickman'S Drug #129 is an health care organization with primary practice located at 90 W Church St , Fairchance PA 15436-1137. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wesclare Corporation can be contacted via phone (724) 564-7817, or through Nickman, James Wesley via phone (724) 437-2144.

Contact Information

Primary practice address
90 W Church St Fairchance PA 15436-1137
Phone: (724) 564-7817
Fax: (724) 564-5969
Website:
Map and Directions
Authorized official contact:
Name: Nickman, James Wesley
Phone: (724) 437-2144

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PP410720L Pennsylvania

Profile Details

NPI number 1104984426
LBN Legal business name Wesclare Corporation
DBA Doing business as Nickman'S Drug #129
Authorized official Nickman, James Wesley
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jan 14th, 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 1104984426 NPPES
Pennsylvania MEDICAID 0018740940002

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