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Contact Information

CHESTNUT RIDGE PHARMACY LLC
2262 QUAKER VALLEY RD
FISHERTOWN, PA15539
 Phone: 814-839-9950
 Fax:
 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 CHESTNUT RIDGE PHARMACY LLC

NPI # 1184787889
LBN Legal business name CHESTNUT RIDGE PHARMACY LLC
Authorized official SCOTT WAUGERMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 07/22/2014 - About 12 years ago
Identifiers
PA License # PP481172
PA Medicaid 01917280
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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