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)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
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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