MEDICARE: TRI-VALLEY PHARMACY, INCORPORATED

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	PP415649L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1013916170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-VALLEY PHARMACY, INCORPORATED

Provider Business Mailing Address
First Line	:	101 S TULPEHOCKEN ST
Second Line	:
City	:	PINE GROVE
State	:	PA
Zip	:	17963-1011
Country	:	US
Telephone Number	:	570-345-4966
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S TULPEHOCKEN ST
Second Line	:
City	:	PINE GROVE
State	:	PA
Zip	:	17963-1011
Country	:	US
Telephone Number	:	570-345-4966
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY D. KLINE
Credential	:
Telephone Number	:	570-345-4966

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	11/21/2012

Similar Medicare Providers

1811905243 — MR. ANTHONY WALINSKY RPH
Practice Location Address:

101 S TULPEHOCKEN ST
PINE GROVE, PA
17963-1011

Practice Phone: 570-345-4966
Practice Fax:

1427460401 — TERRY DONMOYER TERRY
Practice Location Address:

101 S TULPEHOCKEN ST
PINE GROVE, PA
17963-1011

Practice Phone: 570-345-4966
Practice Fax: 570-345-3927

1588117477 — DR. SETH BARNETSKY
Practice Location Address:

101 S TULPEHOCKEN ST
PINE GROVE, PA
17963-1011

Practice Phone: 570-345-4966
Practice Fax:

1700815982 — DR. JOSEPH LASEK M.D.
Practice Location Address:

145 PINE HAVEN SHORES RD STE 1011
SHELBURNE, VT
05482-7812

Practice Phone: 802-488-0048
Practice Fax: 802-209-8024

1528243912 — DR. IGOR N SCHWARTZMAN ND
Practice Location Address:

145 PINE HAVEN SHORES RD STE 1011
SHELBURNE, VT
05482-7812

Practice Phone: 802-490-5009
Practice Fax: 503-853-8615

1215320544 — KATHERINE ELFRIDA SEIDL LMSW
Practice Location Address:

1011 WHISPERING PINE RD
LITTLE ROCK, AR
72210-5422

Practice Phone: 501-231-0353
Practice Fax:

Directions to “TRI-VALLEY PHARMACY, INCORPORATED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.