Healthcare Provider Details

I. General information

NPI: 1467456236
Provider Name (Legal Business Name): LIBRARY PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 BROWNSVILLE ROAD
SOUTH PARK PA
15129
US

IV. Provider business mailing address

2850 BROWNSVILLE ROAD PO BOX 83
SOUTH PARK PA
15129
US

V. Phone/Fax

Practice location:
  • Phone: 412-835-4552
  • Fax: 412-835-4236
Mailing address:
  • Phone: 412-835-4552
  • Fax: 412-835-4236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP411372L
License Number StatePA

VIII. Authorized Official

Name: MR. PATRICK F LAVELLA
Title or Position: PRESIDENT
Credential: RPH
Phone: 412-835-4552