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Contact Information

MED CENTER PHARMACY
CLOY AVE EXTENSION
TYRONE, PA16686
 Phone: 814-684-4212
 Fax: 814-684-1410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MED CENTER PHARMACY

NPI Number 1376664755
LBN Legal business name MED CENTER PHARMACY
Authorized official DANIEL IRVIN - (MANG)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
PA License # PP411803L
PA Medicaid 0016864230001
Other 3939711 OTHER ID NUMBER-COMMERCIAL NUMBER
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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