NPI 1811992001 · live from the CMS NPI Registry
3jb LLC
Pharmacy, Community/Retail Pharmacy in Harrison City, PA. National Provider Identifier 1811992001, active.
NPI record
| NPI | 1811992001 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2106 Route 130, Harrison City, PA 15636 |
| Practice phone | 724-744-3300 |
| Mailing address | 1207 Second Street, Cresson, PA 16630 |
| Enumerated | June 15, 2005 |
| Last updated | June 8, 2022 |
| Authorized official | Steven Decriscio, Cfo |
| Other names | Mainline Pharmacy Harrison City |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | PP412338L (PA) |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.