Mainline Compounding & Infusion Pharmacy Llc
Pharmacy
1049 Shoemaker St Ste 2, Nanty Glo
Pennsylvania, 15943-1248
814-419-5031 814-419-5041
Mainline Compounding & Infusion Pharmacy Llc is a Pharmacy in Nanty Glo, Pennsylvania. It is located at 1049 Shoemaker St Ste 2, Nanty Glo and it's customer support contact number is 814-419-5031. The authorized person of Mainline Compounding & Infusion Pharmacy Llc is Jack Moschgat who is Pharmd of the pharmacy and his contact number is 814-322-5055. Active license number of Mainline Compounding & Infusion Pharmacy Llc is PP482669 for Pharmacy in Pennsylvania.
Mainline Compounding & Infusion Pharmacy Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Mainline Compounding & Infusion Pharmacy Llc 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: | Mainline Compounding & Infusion Pharmacy Llc |
| Type: | Pharmacy |
| Location: | 1049 Shoemaker St Ste 2, Nanty Glo,
Pennsylvania, 15943-1248 |
| Phone: | 814-419-5031 |
| Fax: | 814-419-5041 |
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: | Jack Moschgat |
| Position: | Pharmd |
| Contact Number: | 814-322-5055 |
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: | 1235684952 |
| NPI Enumeration Date: | 23 Aug, 2016 |
| NPI Last Update On: | 06 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mainline Compounding & Infusion Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PP482669 | Pennsylvania | Primary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | 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 |
| 2166206 | Other | | Pk |
| 103223817-0001 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1049 Shoemaker St Ste 2,
Nanty Glo, Pennsylvania |
| Zip: | 15943-1248 |
| Phone Number: | 814-419-5031 |
Patients can reach Mainline Compounding & Infusion Pharmacy Llc at
1049 Shoemaker St Ste 2, Nanty Glo, Pennsylvania or can
call on customer care at 814-419-5031.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.