| Mainline Pharmacy | |
|
3720 New Germany Rd Ebensburg PA 15931-1862 | |
| (814) 472-9390 | |
| (814) 472-1166 |
| Full Name | Mainline Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 3720 New Germany Rd, Ebensburg, Pennsylvania |
| Authorized Official Name and Position | Steven Joseph Decriscio (CFO) |
| Authorized Official Contact | 8144086800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Pharmacy 1207 Second Street Cresson PA 16630-0058 Ph: (814) 408-6800 | Mainline Pharmacy 3720 New Germany Rd Ebensburg PA 15931-1862 Ph: (814) 472-9390 |
| NPI Number | 1184993040 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 9133379696 |
|---|---|
| Medicare Enrollment ID | O20121019000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184993040 | NPI | - | NPPES |
| 1026914940003 | Medicaid | PA | |
| 2133430 | Other | PK |
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