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Contact Information

PECK GROUP INC.
4384 E. PLEASANT VALLEY BLVD. STE 1
TIPTON, PA16684
 Phone: 814-684-7979
 Fax: 814-684-7647
 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 PECK GROUP INC.

NPI Number 1609964816
LBN Legal business name PECK GROUP INC.
Authorized official CHARLES PECK - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 05/16/2013 - About 13 years ago
Identifiers
PA License # PP415132L
PA Medicaid 001564340-0001
PA Other PP415132L STATE PHARMACY LICENSE
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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