Organization Name: | TRI-VALLEY PHARMACY, INCORPORATED |
NPI Number: | 1013916170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY D. KLINE (PRESIDENT) |
Mailing Address: | 101 S Tulpehocken St Pine Grove |
State: | PA US |
Postal Code: | 179631011 |
Phone Number: | 5703454966 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2005 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |