Penn Traffic Co is a Pharmacy in Du Bois, Pennsylvania. Penn Traffic Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Penn Traffic Co is 1629099940. The last update date is 2010-02-10.
Penn Traffic Co's current location address is 100 N Main St, Du Bois, Pennsylvania. You can contact this provider via phone number 8143719000 and fax number 8143759704. The mailing address for Penn Traffic Co is 100 N Main St, Du Bois, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Penn Traffic Co |
---|---|
Address | 100 N Main St, Du Bois, Pennsylvania |
Phone Number | 8143719000 |
Fax Number | 8143759704 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SVP/GENERA |
---|---|
Authorized Official Name | Mahoney J Daniel |
Credentials | ESQ. |
Telephone Number | 3154612347 |
NPI Number Detail
NPI Number | 1629099940 |
---|---|
Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
Address | 100 N Main St |
---|---|
City | Du Bois |
State | Pennsylvania (PA) |
Post Code | 158011888 |
Phone Number | 8143719000 |
Fax Number | 8143759704 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
---|---|
Taxonomy | 333600000X |
Licence No | PP412682L |
Definition: 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 presc |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3961035 | NCPDP | ||
3961035 | OTHER ID NUMBER-COMMERCIAL NUM | ||
1215180 | PA | -- | |
1007783900001 | PA PROMISE- MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penn Traffic Co by the Centers for Medicare & Medicaid Services?
The Penn Traffic Co has been issued the NPI (National Provider Identifier) 1629099940 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Penn Traffic Co is geographically located?
The Penn Traffic Co is physically situated at the following location: 100 N Main St, Du Bois, PA, 158011888.
What is the area of specialization for Penn Traffic Co, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Penn Traffic Co is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.
When was the Penn Traffic Co's 1629099940 issued?
The Penn Traffic Co's 1629099940 was issued on 2006-07-21.
As of what date were the details pertaining to Penn Traffic Co last refreshed?
The information related to the Penn Traffic Co, including its address, specialty, and other relevant details, was last updated on 2010-02-10.
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1437152154
Address: One Reads Way, New Castle, DE
NPI Number: 1841293438
Address: One Reads Way, New Castle, DE
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA