Organization
PENN TRAFFIC CO
Active
Other names
BILO FOODS AND PHARMACY 9207
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ERBA RPH (PHARMACY SYSTEMS MANAGER)
(315) 461-2595
Entity
Organization
Contact information
Practice address
1305 E MAIN ST, CLARION, PA 16214-1213
(814) 226-5808
(814) 226-6284
Mailing address
1200 STATE FAIR BLVD, SYRACUSE, NY 13209-1070
(315) 461-2600
(315) 461-2304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415017L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404006
—
PA
01
—
1007783900044
PA PROMISE- MEDICAID
—
01
—
3969788
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/21/2006
Last updated
06/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us