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Contact Information

SKIPPACK RX LLC
4118 W SKIPPACK PIKE
SKIPPACK, PA19474
 Phone: 610-584-6544
 Fax: 610-584-4271
 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 SKIPPACK RX LLC

NPI # 1841645462
LBN Legal business name SKIPPACK RX LLC
Authorized official ANITHA RAO MANDAVA - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2016
Last updated 01/24/2018 - About 8 years ago
Identifiers
PA License # PP412308L
PA Medicaid 103221699-0001
Other 2159578 PK
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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