Penn Traffic Co is a Pharmacy in Clarion, Pennsylvania. Penn Traffic Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Penn Traffic Co is 1083635304. The last update date is 2008-06-13.
Penn Traffic Co's current location address is 1305 E Main St, Clarion, Pennsylvania. You can contact this provider via phone number 8142265808 and fax number 8142266284. The mailing address for Penn Traffic Co is 1305 E Main St, Clarion, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penn Traffic Co |
|---|---|
| Address | 1305 E Main St, Clarion, Pennsylvania |
| Phone Number | 8142265808 |
| Fax Number | 8142266284 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY S |
|---|---|
| Authorized Official Name | Erba James |
| Credentials | RPH |
| Telephone Number | 3154612595 |
NPI Number Detail
| NPI Number | 1083635304 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 1305 E Main St |
|---|---|
| City | Clarion |
| State | Pennsylvania (PA) |
| Post Code | 162141213 |
| Phone Number | 8142265808 |
| Fax Number | 8142266284 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PP415017L |
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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 |
|---|---|---|---|
| 3969788 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 1007783900044 | PA PROMISE- MEDICAID | ||
| 1404006 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Penn Traffic Co?
The Penn Traffic Co has been issued the NPI (National Provider Identifier) 1083635304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Penn Traffic Co is located?
The Penn Traffic Co is situated at the following address: 1305 E Main St, Clarion, PA, 162141213.
What is Penn Traffic Co's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Penn Traffic Co's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
When did the Penn Traffic Co receive its 1083635304?
The Penn Traffic Co was issued its 1083635304 on 2006-07-21, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Penn Traffic Co most recently updated or revised?
The details related to Penn Traffic Co, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.
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