National Provider Identifier Database

BENTLEYVILLE MEDICINE SHOPPE INC
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

BENTLEYVILLE MEDICINE SHOPPE INC
808 MAIN ST
BENTLEYVILLE, PA15314-1214
Phone: 724-239-3600
Fax:
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for BENTLEYVILLE MEDICINE SHOPPE INC

NPI Number 1497214670
Legal business name
LBN
BENTLEYVILLE MEDICINE SHOPPE INC
Authorized official JOHN CRUMRINE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/18/2019
Last updated 03/18/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 102979960001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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