MEDICARE: ALBION 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PP410032L	OTHER	PA	PHARMACY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3913565	OTHER		NCPDP

General Provider Information

NPI Number	:	1255396396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBION PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	EMLENTON
State	:	PA
Zip	:	16373-0010
Country	:	US
Telephone Number	:	814-756-3429
Fax Number	:	814-756-5882

Provider Business Practice Location Address
First Line	:	9 EAST STATE ST
Second Line	:
City	:	ALBION
State	:	PA
Zip	:	16401-1110
Country	:	US
Telephone Number	:	814-756-3429
Fax Number	:	814-756-5882

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW S DREHER
Credential	:	PHARMD
Telephone Number	:	814-756-3429

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	11/18/2020

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Directions to “ALBION PHARMACY INC ” Practice Location

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