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Contact Information

RISTWAY INC
144 POST AVENUE
NEW STANTON, PA15672
 Phone: 724-925-9810
 Fax: 724-925-1730
 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 RISTWAY INC

NPI # 1679656623
LBN Legal business name RISTWAY INC
Authorized official SHANE DAUGHERTY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 12/07/2023 - About 2 years ago
Identifiers
PA License # PP414238L
PA Medicaid 0015787490002
Other 2087301 PK
Other 2B6966 PTAN
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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