Provider Demographics
NPI:1609948405
Name:GREENSBURG MED INC
Entity Type:Organization
Organization Name:GREENSBURG MED INC
Other - Org Name:PRECISION CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:724-834-5113
Mailing Address - Street 1:434 E PITTSBURGH ST
Mailing Address - Street 2:SUITE 17
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2644
Mailing Address - Country:US
Mailing Address - Phone:724-834-5513
Mailing Address - Fax:724-834-5160
Practice Address - Street 1:434 E PITTSBURGH ST
Practice Address - Street 2:SUITE 17
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2644
Practice Address - Country:US
Practice Address - Phone:724-834-5513
Practice Address - Fax:724-834-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414412L333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017969620003Medicaid
3961782OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3961782OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PA4325690001Medicare NSC