NPI 1861565582 · live from the CMS NPI Registry
3jb LLC
Pharmacy, Community/Retail Pharmacy in Hastings, PA. National Provider Identifier 1861565582, active.
NPI record
| NPI | 1861565582 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 317 Beaver St, Hastings, PA 16646 |
| Practice phone | 814-247-9959 |
| Mailing address | Po Box 598, Hastings, PA 16646 |
| Enumerated | November 17, 2006 |
| Last updated | June 8, 2022 |
| Authorized official | Steven Decriscio, Cfo |
| Other names | Mainline Pharmacy Hastings |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PP411885L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.