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Mainline Cpl, Llc
Long Term Care Pharmacy in Nanty Glo, Pennsylvania
NPI 1124352760

Mainline Cpl, Llc is a Long Term Care Pharmacy based in Nanty Glo, PA and is specialized in Long Term Care Pharmacy. Mainline Cpl, Llc practices in Nanty Glo, PA. The NPI Number for Mainline Cpl, Llc is 1124352760 and holds a License No. PP481858 (Pennsylvania).

The current practice location address for Mainline Cpl, Llc is 1049 Shoemaker St Ste 2, Nanty Glo, PA and can be reached out via phone at 814-736-3044 and via fax at 814-736-9522.

Location: 1049 Shoemaker St Ste 2, Nanty Glo, PA, 15943-1248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124352760
Provider Name
Mainline Cpl, Llc
Credential
Provider Entity Type
Organization
Address
1049 Shoemaker St Ste 2, Nanty Glo, PA, 15943-1248
Phone Number
814-736-3044
Fax Number
814-736-9522
Provider Enumeration Date
09/30/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PP481858 01 PA PA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1049 Shoemaker St Ste 2
City
Nanty Glo
State
Pennsylvania
Zip
15943-1248
Phone Number
814-736-3044
Fax Number
814-736-9522
person
Provider Business Mailing Address Details
Address
1049 Shoemaker St Ste 2
City
Nanty Glo
State
Pennsylvania
Zip
15943-1248
Phone Number
814-736-3044
Fax Number
814-736-9522
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PP481858 (Pennsylvania)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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