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Contact Information

MCCRACKEN PHARMACY INC
595 E HIGH ST
WAYNESBURG, PA15370
 Phone: 724-627-5454
 Fax: 724-627-5429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MCCRACKEN PHARMACY INC

NPI # 1750467239
LBN Legal business name MCCRACKEN PHARMACY INC
Authorized official CHARLES ADAMSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 08/12/2025 - About 10 months ago
Identifiers
PA License # PP 411522L
PA License # PP411522L
PA Medicaid 0008722280001
Other 3927576 OTHER ID 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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