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Contact Information

CK-KC LTC, INC
1200 GRUBB STREET
PALMYRA, PA17078
 Phone: 717-832-2050
 Fax: 717-832-2051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CK-KC LTC, INC

NPI # 1548369028
LBN Legal business name CK-KC LTC, INC
Authorized official CHARLES KRAY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 12/18/2020 - About 5 years ago
Identifiers
PA License # PP415557L
PA Medicaid MA1865498
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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