Provider Demographics
NPI:1306840921
Name:LIBRARY PHARMACY INC.
Entity Type:Organization
Organization Name:LIBRARY PHARMACY INC.
Other - Org Name:PRESCRIPTION CENTER PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:W
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-222-2512
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:EIGHTY FOUR
Mailing Address - State:PA
Mailing Address - Zip Code:15330-0098
Mailing Address - Country:US
Mailing Address - Phone:724-222-2512
Mailing Address - Fax:724-222-2527
Practice Address - Street 1:1045 ROUTE 519
Practice Address - Street 2:STE 2
Practice Address - City:EIGHTY FOUR
Practice Address - State:PA
Practice Address - Zip Code:15330-2813
Practice Address - Country:US
Practice Address - Phone:724-222-2512
Practice Address - Fax:724-222-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413954L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007371000007Medicaid
PA1007371000007Medicaid
PA1007371000007Medicaid