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Contact Information

CCP RETAIL LLC
320 ROLLING RIDGE DRIVE
STATE COLLEGE, PA16801
 Phone: 814-272-2480
 Fax: 814-272-2490
 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 CCP RETAIL LLC

NPI Number 1750469904
LBN Legal business name CCP RETAIL LLC
Authorized official JAMES MESSINA - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # PP481609
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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