Mainline Cpl, Llc
Long Term Care Pharmacy
1049 Shoemaker St Ste 2, Nanty Glo
Pennsylvania, 15943-1248
814-736-3044 814-736-9522
Mainline Cpl, Llc is a Long Term Care Pharmacy in Nanty Glo, Pennsylvania. It is located at 1049 Shoemaker St Ste 2, Nanty Glo and it's customer support contact number is 814-736-3044. The authorized person of Mainline Cpl, Llc is Mr. Steven Joseph Decriscio who is Cfo of the pharmacy and his contact number is 814-408-6800. Active license number of Mainline Cpl, Llc is PP481858 for Long Term Care Pharmacy in Pennsylvania.
Mainline Cpl, Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Mainline Cpl, 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 Cpl, Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 1049 Shoemaker St Ste 2, Nanty Glo,
Pennsylvania, 15943-1248 |
| Phone: | 814-736-3044 |
| Fax: | 814-736-9522 |
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. Steven Joseph Decriscio |
| Position: | Cfo |
| Contact Number: | 814-408-6800 |
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: | 1124352760 |
| NPI Enumeration Date: | 30 Sep, 2009 |
| NPI Last Update On: | 27 Apr, 2022 |
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 Cpl, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PP481858 | Pennsylvania | Primary | |
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 |
| PP481858 | Other | Pennsylvania | Pa State License |
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: | 814-736-3044 |
| Fax Number: | 814-736-9522 |
Patients can reach Mainline Cpl, Llc at
1049 Shoemaker St Ste 2, Nanty Glo, Pennsylvania or can
call on customer care at 814-736-3044.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.