Provider Demographics
NPI:1487654778
Name:TEMPLE PHARMACY INC
Entity Type:Organization
Organization Name:TEMPLE PHARMACY INC
Other - Org Name:TEMPLE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GIORDANO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-837-6666
Mailing Address - Street 1:103 FRALEY ST
Mailing Address - Street 2:PO BOX 280
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-1326
Mailing Address - Country:US
Mailing Address - Phone:814-837-6666
Mailing Address - Fax:240-359-4479
Practice Address - Street 1:103 FRALEY ST
Practice Address - Street 2:
Practice Address - City:KANE
Practice Address - State:PA
Practice Address - Zip Code:16735-1326
Practice Address - Country:US
Practice Address - Phone:814-837-6666
Practice Address - Fax:240-359-4479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412536L332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000284617OtherBLUE CROSS/BLUE SHIELD
PA0692620001Medicare PIN
PA000284617OtherBLUE CROSS/BLUE SHIELD