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Debalkos Pharmacy Inc

Debalkos Pharmacy Inc is a health care provider in Mcadoo, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 322 S Hancock St, Mcadoo, PA 18237-1608, US
Practice Location Phone570-929-1130
Practice Location Fax570-929-1208
Legal Business NameDEBALKOS PHARMACY INC
Other Organization NameSTANDARD DRUG
Other Organization Name TypeDoing Business As Name
NPI ?1063465383
Entity TypeOrganization
Enumeration Date ? May 18, 2006
Last Update Date ? May 4, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Debalkos Pharmacy Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies PP412373LPennsylvania
Prosthetic/Orthotic Supplier PP412373LPennsylvania

legacy-id-icon Legacy Provider IDs of Debalkos Pharmacy Inc

Provider IdIssuer StateIssuer TypeIssuer
237105PennsylvaniaOtherPA BS DME
001017817PennsylvaniaMedicaid
39HA85PennsylvaniaOtherCAPITAL BC DME

official-icon Authorized Official of Debalkos Pharmacy Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Debalkos Pharmacy Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. John Nicholas Debalko (RPH PHARMD)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number570-929-2028