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Contact Information

LAUREL PHARM PA LLC
2330 VARTAN WAY
HARRISBURG, PA17110-9763
 Phone: 717-541-8002
 Fax: 717-541-8122
 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 LAUREL PHARM PA LLC

NPI # 1124125067
LBN Legal business name LAUREL PHARM PA LLC
Authorized official BRADLEY COCHRAN - (DIR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
PA License # PP481591
Other 3986974 OTHER ID NUMBER-COMMERCIAL 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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