Provider Demographics
NPI:1821714502
Name:ALBERTS PHARMACY INC
Entity Type:Organization
Organization Name:ALBERTS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:570-498-2874
Mailing Address - Street 1:70 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-1912
Mailing Address - Country:US
Mailing Address - Phone:570-980-9705
Mailing Address - Fax:570-936-7239
Practice Address - Street 1:70 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-1912
Practice Address - Country:US
Practice Address - Phone:570-980-9705
Practice Address - Fax:570-936-7239
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALBERTS PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy