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CRESTWOOD PHARMACY LLC NPI 1588052872


NPI Information

NPI: 1588052872
Provider Name: CRESTWOOD PHARMACY LLC

Doing Business As: CRESTWOOD PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
10 S MOUNTAIN BLVD
MOUNTAIN TOP, PA
ZIP 18707
Phone: (570) 474-5859
Get Directions

CRESTWOOD PHARMACY LLC is a community/retail pharmacy pharmacy in Mountain Top, PA. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CRESTWOOD PHARMACY LLC NPI is 1588052872. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood Pharmacy.

The provider's business location address is:

10 S MOUNTAIN BLVD
MOUNTAIN TOP, PA
ZIP 18707-123
Phone: (570) 474-5859
Fax: (570) 474-9594

The provider's authorized official is Jessica Orloski .
The authorized official title is Member and has the following contact phone number (570) 474-5859.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 4/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPP410503LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11029974200001MEDICAIDPENNSYLVANIA
22151155OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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