Provider Demographics
NPI:1295822492
Name:H & M DRUGS INC
Entity Type:Organization
Organization Name:H & M DRUGS INC
Other - Org Name:BALLIET'S FAMILY PHARMACY AND GIFT SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLIET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-286-6644
Mailing Address - Street 1:1253 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1253 N 4TH ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801
Practice Address - Country:US
Practice Address - Phone:570-286-6644
Practice Address - Fax:570-286-6733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP415493L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3975589OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA001739581Medicaid
PABM6288129OtherDEA #
3975589OtherOTHER ID NUMBER-COMMERCIAL NUMBER