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Contact Information

CLAYSVILLE PHARMACY, LLC
575 HENDERSON AVE
WASHINGTON, PA15301-1901
 Phone: 724-225-1592
 Fax: 724-225-1651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CLAYSVILLE PHARMACY, LLC

NPI Number 1871710418
LBN Legal business name CLAYSVILLE PHARMACY, LLC
Authorized official ERICH CUSHEY - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2007
Last updated 03/24/2026 - About 2 months ago
Identifiers
PA License # PP481704
PA Other PP481704 STATE LICENSE 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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