# PROVIDENCE PHARMACY SVC LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE PHARMACY SERVICES LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700897378
- **Authorized official:** RICHARD ZABINSKI RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (724) 352-8822

## Contact information

- **Practice address:** 615 N PIKE RD, CABOT, PA 16023-2215
- **Practice address phone:** (724) 352-8822
- **Practice address fax:** (724) 352-8866
- **Mailing address:** 615 N PIKE RD, CABOT, PA 16023-2215
- **Mailing address phone:** (724) 352-8822
- **Mailing address fax:** (724) 352-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PP481217 | PA | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 03/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0019280970001 | — | PA |
| 01 | — | 2086334 | PK | — |