Yankeetown Apothecary

LBN: Yankeetown Golden Spike
Yankeetown Apothecary is an health care organization with primary practice located at 60 Yankeetown Ave , Homer City PA 15748-1011. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Yankeetown Golden Spike can be contacted via phone (724) 471-7471, or through Kunkle, Timothy via phone (724) 471-7471.

Contact Information

Primary practice address
60 Yankeetown Ave Homer City PA 15748-1011
Phone: (724) 471-7471
Fax: (724) 471-0262
Website:
Map and Directions
Authorized official contact:
Name: Kunkle, Timothy BS, MS, PHARMD
Phone: (724) 471-7471

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Mail Order Pharmacy 3336M0002X PP482660 Pennsylvania

Profile Details

NPI number 1528413804
LBN Legal business name Yankeetown Golden Spike
DBA Doing business as Yankeetown Apothecary
Authorized official Kunkle, Timothy BS, MS, PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2016
Last updated Mar 15th, 2017 - about 7 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 1528413804 NPPES
Pennsylvania MEDICAID 103133765
Pennsylvania Other 2160615

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