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Organization
PROVIDENCE PHARMACY SVC LP
Active
Organization
PROVIDENCE PHARMACY SVC LP
Active
Other names
PROVIDENCE PHARMACY SERVICES LP
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ZABINSKI RPH (DIRECTOR OF PHARMACY)
(724) 352-8822
Entity
Organization
Contact information
Practice address
615 N PIKE RD, CABOT, PA 16023-2215
(724) 352-8822
(724) 352-8866
Mailing address
615 N PIKE RD, CABOT, PA 16023-2215
(724) 352-8822
(724) 352-8866
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PP481217
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019280970001
—
PA
01
—
2086334
PK
—
Enumeration date
08/10/2006
Last updated
03/22/2017
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