Provider Demographics
NPI:1467456236
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:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:F
Authorized Official - Last Name:LAVELLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:412-835-4552
Mailing Address - Street 1:2850 BROWNSVILLE ROAD
Mailing Address - Street 2:PO BOX 83
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129
Mailing Address - Country:US
Mailing Address - Phone:412-835-4552
Mailing Address - Fax:412-835-4236
Practice Address - Street 1:2850 BROWNSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129
Practice Address - Country:US
Practice Address - Phone:412-835-4552
Practice Address - Fax:412-835-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP411372L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007371000003Medicaid
PA064986Medicare PIN
0124260001Medicare ID - Type Unspecified