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Contact Information

HUSAK HOLDINGS JTL, INC
145 E 9TH ST
BERWICK, PA18603-3132
 Phone: 570-759-1239
 Fax: 570-759-1230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for HUSAK HOLDINGS JTL, INC

NPI Number 1992770747
LBN Legal business name HUSAK HOLDINGS JTL, INC
Authorized official LISA POPKO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2006
Last updated 03/07/2023 - About 3 years ago
Identifiers
PA License # PP4108501
PA License # PP410850L
PA License # RPI000634
PA Medicaid 0073970160002
PA Other 3937767 NCPDP #
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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