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Contact Information

THE SHEPHERDS HEALTH MART PHARMACY
415 DELAWARE AVE
PORTLAND, PA18351
 Phone: 570-897-7437
 Fax: 570-897-2514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for THE SHEPHERDS HEALTH MART PHARMACY

NPI Number 1003999053
LBN Legal business name THE SHEPHERDS HEALTH MART PHARMACY
Authorized official ANGELA HART - (PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 02/08/2008 - About 18 years ago
Identifiers
PA License # PP481605
PA Medicaid 1017998220001
Other 3987318 OTHER ID NUMBER-COMMERCIAL NUMBER
PA Other 3987318 NABP/NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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