Mainline Cpl, Llc is a Pharmacy in Cresson, Pennsylvania. Mainline Cpl, Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Mainline Cpl, Llc is 1124117312. The last update date is 2022-04-21.
Mainline Cpl, Llc's current location address is 1207 Second Street, Cresson, Pennsylvania. You can contact this provider via phone number 8148865667 and fax number 8148862203. The mailing address for Mainline Cpl, Llc is 1207 Second Street, Cresson, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mainline Cpl, Llc |
|---|---|
| Address | 1207 Second Street, Cresson, Pennsylvania |
| Phone Number | 8148865667 |
| Fax Number | 8148862203 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Decriscio Joseph Steven |
| Telephone Number | 8144086800 |
NPI Number Detail
| NPI Number | 1124117312 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2022-04-21 |
Provider Mailing Address Detail
| Address | 1207 Second Street |
|---|---|
| City | Cresson |
| State | Pennsylvania (PA) |
| Post Code | 166301147 |
| Phone Number | 8148865667 |
| Fax Number | 8148862203 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PP412243L |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007331830003 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mainline Cpl, Llc by the Centers for Medicare & Medicaid Services?
The Mainline Cpl, Llc has been assigned the NPI (National Provider Identifier) 1124117312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Mainline Cpl, Llc by the Centers for Medicare & Medicaid Services?
The Mainline Cpl, Llc has been assigned the NPI (National Provider Identifier) 1124117312 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
On what date was the 1124117312 assigned to Mainline Cpl, Llc?
The Mainline Cpl, Llc was issued its 1124117312 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Mainline Cpl, Llc receive the assignment of its 1124117312 from the Centers for Medicare & Medicaid Services?
The Mainline Cpl, Llc was issued its 1124117312 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date was the information pertaining to Mainline Cpl, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mainline Cpl, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-21.