Costa Drugs Inc
Durable Medical Equipment & Medical Supplies
100 Old Lackawanna Trl, Clarks Summit
Pennsylvania, 18411-9108
570-587-4717 570-587-2619
Costa Drugs Inc is a Durable Medical Equipment & Medical Supplies in Clarks Summit, Pennsylvania. It is located at 100 Old Lackawanna Trl, Clarks Summit and it's customer support contact number is 570-587-4717. The authorized person of Costa Drugs Inc is Mr. Jack L Cellerari, RPH who is Manager of the pharmacy and his contact number is 570-587-4717. Active license number of Costa Drugs Inc is PP410982L for Durable Medical Equipment & Medical Supplies in Pennsylvania.
Costa Drugs Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Costa Drugs Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Costa Drugs Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 100 Old Lackawanna Trl, Clarks Summit,
Pennsylvania, 18411-9108 |
| Phone: | 570-587-4717 |
| Fax: | 570-587-2619 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jack L Cellerari |
| Credentials: | RPH |
| Position: | Manager |
| Contact Number: | 570-587-4717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1891867966 |
| NPI Enumeration Date: | 14 Nov, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Costa Drugs Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | PP410982L | Pennsylvania | Primary | |
| Community/Retail Pharmacy | PP410982L | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3938721 | Other | Pennsylvania | Ncpdp Number |
| 0005826490002 | Medicaid | Pennsylvania | |
| 0393872 | Other | Pennsylvania | Pace Provider Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Old Lackawanna Trl,
Clarks Summit, Pennsylvania |
| Zip: | 18411-9108 |
| Phone Number: | 570-587-4717 |
| Fax Number: | 570-587-2619 |
Patients can reach Costa Drugs Inc at
100 Old Lackawanna Trl, Clarks Summit, Pennsylvania or can
call on customer care at 570-587-4717.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.