Provider Demographics
NPI:1417951328
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:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FORESTER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-941-2522
Mailing Address - Street 1:4080 WASHINGTON RD
Mailing Address - Street 2:STE 106
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2561
Mailing Address - Country:US
Mailing Address - Phone:724-941-2522
Mailing Address - Fax:724-942-8386
Practice Address - Street 1:4080 WASHINGTON RD
Practice Address - Street 2:STE 106
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2561
Practice Address - Country:US
Practice Address - Phone:724-941-2522
Practice Address - Fax:724-942-8386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP413302L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10007371000008Medicaid
PAPP413302LOtherSTATE PHARMACY LICENSE
BP8715596OtherDEA REGISTRATION NUMBER
BP8715596OtherDEA REGISTRATION NUMBER