National Provider Identifier Database

PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
4501 ADMIRAL PEARY HWY
EBENSBURG, PA15931-4332
Phone: 814-472-0495
Fax: 814-472-0572
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

NPI Number 1831132174
Legal business name
LBN
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
Authorized official CHRISTINE GRIFFITH - (CHIEF PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 06/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PP417043L
  • PA Medicaid: 0743150
  • Other: 3951969 OTHER ID NUMBER-COMMERCIAL NUMBER

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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