NPI 1508082140 · live from the CMS NPI Registry
3jb LLC
Pharmacy, Community/Retail Pharmacy in Altoona, PA. National Provider Identifier 1508082140, active.
NPI record
| NPI | 1508082140 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1667 Bellemeade Dr, Altoona, PA 16602 |
| Practice phone | 814-944-9551 |
| Mailing address | 1207 Second Street, Cresson, PA 16630 |
| Enumerated | April 18, 2007 |
| Last updated | September 21, 2022 |
| Authorized official | Steven Decriscio, Cfo |
| Other names | Mainline Pharmacy Altoona |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | pp413875l (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.