COSTA DRUGS INC
Medical Equipment Supplier Yellow Pages
Clarks Summit, Pennsylvania
Provider NPI: 1891867966
Organization Information:Organization Name: COSTA DRUGS INC
Practice Location:
100 OLD LACKAWANNA TRL CLARKS SUMMIT, PA 18411 US
Tel: 570-587-4717 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
100 OLD LACKAWANNA TRL CLARKS SUMMIT, PA 18411 US
Tel: 570-587-4717 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | PA | PP410982L |
X | 3336C0003X | Suppliers Pharmacy | PA | PP410982L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP NUMBER | 3938721 | PA | 01 |
PACE PROVIDER NUMBER | 0393872 | PA | 01 |
0005826490002 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin