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NPI Code Detail

MEDICARE: HEIGHTS PRESCRIPTION PHARMACY, INC

MEDICARE: HEIGHTS PRESCRIPTION PHARMACY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2332B00000XDurable Medical Equipment & Medical SuppliesPP411945LPA
33336C0003XCommunity/Retail PharmacyPP411945LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23942100OTHERPANCPDP

General Provider Information

NPI Number : 1285717637
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEIGHTS PRESCRIPTION PHARMACY, INC
Provider Business Mailing Address
First Line : 224 LONGFELLOW ST STE 100
Second Line :
City : VANDERGRIFT
State : PA
Zip : 15690-1476
Country : US
Telephone Number : 724-567-6615
Fax Number : 724-568-1608
Provider Business Practice Location Address
First Line : 224 LONGFELLOW ST STE 100
Second Line :
City : VANDERGRIFT
State : PA
Zip : 15690-1476
Country : US
Telephone Number : 724-567-6615
Fax Number : 724-568-1608
Authorized Official
Title or Position : SECRETARY
Name : ALEXANDER J MICKLOW
Credential : R.PH.
Telephone Number : 724-567-6615
Provider Enumeration Date : 10/21/2006
Last Update Date : 01/09/2024

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Directions to “HEIGHTS PRESCRIPTION PHARMACY, INC ” Practice Location

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