Provider Demographics
NPI:1336288117
Name:CHARLES TRAINOR CORPORATION
Entity Type:Organization
Organization Name:CHARLES TRAINOR CORPORATION
Other - Org Name:SAXONBURG DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRES
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINOR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-352-3000
Mailing Address - Street 1:PO BOX 473
Mailing Address - Street 2:
Mailing Address - City:SAXONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16056-0473
Mailing Address - Country:US
Mailing Address - Phone:724-352-3000
Mailing Address - Fax:724-352-5044
Practice Address - Street 1:115 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:SAXONBURG
Practice Address - State:PA
Practice Address - Zip Code:16056-9563
Practice Address - Country:US
Practice Address - Phone:724-352-3000
Practice Address - Fax:724-352-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
PAPP410020L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3930080OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PA07809400002Medicaid
0898550001Medicare NSC