Penn Traffic Co in Du Bois - Community/retail Pharmacy

Penn Traffic Co - NPI 1629099940

Penn Traffic Co is a Community/retail Pharmacy in Du Bois, Pennsylvania. Penn Traffic Co practices all healthcare services and medical treatments related to Community/retail 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 Community/retail Pharmacy
Taxonomy 3336C0003X
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

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

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FAQs about Penn Traffic Co

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 Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

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.

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