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Penn Traffic Co
Community/Retail Pharmacy in Brookville, Pennsylvania
NPI 1174544498

Penn Traffic Co is a Community/Retail Pharmacy based in Syracuse, PA and is specialized in Community/Retail Pharmacy. Penn Traffic Co practices in Brookville, PA. The NPI Number for Penn Traffic Co is 1174544498 and holds a License No. PP414919L (Pennsylvania).

The current practice location address for Penn Traffic Co is 40 S White St, Brookville, PA and can be reached out via phone at 814-849-7548 and via fax at 814-849-9650. You can also correspond with Penn Traffic Co through the mailing address at 1200 STATE FAIR BLVD, SYRACUSE, NY - 13209-1070 (mailing address contact number: 315-461-2600).

Location: 40 S White St, Brookville, PA, 13209-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174544498
Provider Name
Penn Traffic Co
Credential
Provider Entity Type
Organization
Address
40 S White St, Brookville, PA, 13209-1070
Phone Number
814-849-7548
Fax Number
814-849-9650
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01465807 05 PA
3968558 01 OTHER ID NUMBER-COMMERCIAL NUMBER
1007783900034 01 PA PROMISE- MEDICAID
institution
Provider Business Practice Location Address Details
Address
40 S White St
City
Brookville
State
Pennsylvania
Zip
15825-2422
Phone Number
814-849-7548
Fax Number
814-849-9650
person
Provider Business Mailing Address Details
Address
1200 State Fair Blvd
City
Syracuse
State
New York
Zip
13209-1070
Phone Number
315-461-2600
Fax Number
315-461-2304
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PP414919L (Pennsylvania)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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