Provider Demographics
NPI:1811454416
Name:MCLAUGHLIN PHARMACY, INC.
Entity type:Organization
Organization Name:MCLAUGHLIN PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:717-436-8020
Mailing Address - Street 1:122 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:MIFFLINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17059-9048
Mailing Address - Country:US
Mailing Address - Phone:717-436-8020
Mailing Address - Fax:717-436-8021
Practice Address - Street 1:122 CARRIAGE LN
Practice Address - Street 2:
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-9048
Practice Address - Country:US
Practice Address - Phone:717-436-8020
Practice Address - Fax:717-436-8021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031119640001Medicaid