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Contact Information

PROVIDENCE PHARMACY SVC LP
615 N PIKE RD
CABOT, PA16023-2215
 Phone: 724-352-8822
 Fax: 724-352-8866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROVIDENCE PHARMACY SVC LP

NPI # 1700897378
LBN Legal business name PROVIDENCE PHARMACY SVC LP
Authorized official RICHARD ZABINSKI - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 03/22/2017 - About 9 years ago
Identifiers
PA License # PP481217
PA Medicaid 0019280970001
Other 2086334 PK
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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