MEDICARE: LIBRARY 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	PP413302L	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
2	PP413302L	OTHER	PA	STATE PHARMACY LICENSE

General Provider Information

NPI Number	:	1417951328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBRARY PHARMACY INC.

Provider Business Mailing Address
First Line	:	4080 WASHINGTON RD
Second Line	:	STE 106
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2561
Country	:	US
Telephone Number	:	724-941-2522
Fax Number	:	724-942-8386

Provider Business Practice Location Address
First Line	:	4080 WASHINGTON RD
Second Line	:	STE 106
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2561
Country	:	US
Telephone Number	:	724-941-2522
Fax Number	:	724-942-8386

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. TIMOTHY WILLIAM FORESTER
Credential	:	RPH
Telephone Number	:	724-941-2522

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/07/2023

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Directions to “LIBRARY PHARMACY INC. ” Practice Location

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