Penn Traffic Co is a Pharmacy in Brookville, Pennsylvania. Penn Traffic Co practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Penn Traffic Co is 1174544498. The last update date is 2010-02-10.
Penn Traffic Co's current location address is 40 S White St, Brookville, Pennsylvania. You can contact this provider via phone number 8148497548 and fax number 8148499650. The mailing address for Penn Traffic Co is 40 S White St, Brookville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Penn Traffic Co |
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Address | 40 S White St, Brookville, Pennsylvania |
Phone Number | 8148497548 |
Fax Number | 8148499650 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | SVP/GENERA |
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Authorized Official Name | Mahoney J Daniel |
Credentials | ESQ. |
Telephone Number | 3154612347 |
NPI Number Detail
NPI Number | 1174544498 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
Address | 40 S White St |
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City | Brookville |
State | Pennsylvania (PA) |
Post Code | 158252422 |
Phone Number | 8148497548 |
Fax Number | 8148499650 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | PP414919L |
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 |
---|---|---|---|
1465807 | PA | -- | |
3968558 | OTHER ID NUMBER-COMMERCIAL NUM | ||
1007783900034 | PA PROMISE- MEDICAID |
Post Comment/ Review Below
What is the Penn Traffic Co's unique identification number?
The Penn Traffic Co has been assigned the NPI (National Provider Identifier) Number 1174544498 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification 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) 1174544498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Penn Traffic Co is physically located?
The Penn Traffic Co is physically situated at the following address: 40 S White St, Brookville, PA, 158252422.
What is Penn Traffic Co's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Penn Traffic Co is Pharmacy, and the taxonomy code that categorizes this field of expertise is 333600000X.
On what date did the Penn Traffic Co receive its 1174544498 assignment from the Centers for Medicare & Medicaid Services?
The Penn Traffic Co was assigned its 1174544498 by the Centers for Medicare & Medicaid Services on 2006-07-21.