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Mainline Cpl, Llc
Pharmacy in Portage, Pennsylvania
NPI 1770638702

Mainline Cpl, Llc is a Pharmacy based in Portage, PA. Mainline Cpl, Llc practices in Portage, PA. The NPI Number for Mainline Cpl, Llc is 1770638702 and holds a License No. PP413275L (Pennsylvania).

The current practice location address for Mainline Cpl, Llc is 619 Main St, Portage, PA and can be reached out via phone at 814-736-4530 and via fax at 814-736-9522.

Location: 619 Main St, Portage, PA, 15946-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770638702
Provider Name
Mainline Cpl, Llc
Credential
Provider Entity Type
Organization
Address
619 Main St, Portage, PA, 15946-1539
Phone Number
814-736-4530
Fax Number
814-736-9522
Provider Enumeration Date
01/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007331830002 05 PA
institution
Provider Business Practice Location Address Details
Address
619 Main St
City
Portage
State
Pennsylvania
Zip
15946-1539
Phone Number
814-736-4530
Fax Number
814-736-9522
person
Provider Business Mailing Address Details
Address
619 Main St
City
Portage
State
Pennsylvania
Zip
15946-1539
Phone Number
814-736-4530
Fax Number
814-736-9522
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PP413275L (Pennsylvania)
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.
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