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Contact Information

EDPHARMALLC
123 COLUMBIA DR.
MARSHALLS CREEK, PA18335
 Phone: 570-223-2600
 Fax:
 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 EDPHARMALLC

NPI Number 1871919118
LBN Legal business name EDPHARMALLC
Authorized official EDMUND POTOCKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 03/11/2014 - About 12 years ago
Identifiers
PA License # PP4822308
Other 2144584 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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