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Contact Information

COMMONWEALTH OF PENNSYLVANIA
1001 STERIGERE ST
NORRISTOWN, PA19401-5300
 Phone: 610-313-5867
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMONWEALTH OF PENNSYLVANIA

NPI Number 1043423171
LBN Legal business name COMMONWEALTH OF PENNSYLVANIA
Authorized official PATTI EISNER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 03/19/2018 - About 8 years ago
Identifiers
PA License # HP417021L
PA Other 3985100 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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