Mainline Cpl, Llc is not a DME supplier for medicare equipments and products.
Mainline Cpl, Llc is a Pharmacy in Portage, Pennsylvania. It is located at 619 Main St, Portage and it's customer support contact number is 814-736-4530. 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 PP413275L for Pharmacy in Pennsylvania. Mainline Cpl, 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 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:
Pharmacy
Location:
619 Main St, Portage, Pennsylvania, 15946-1539
Phone:
814-736-4530
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:
1770638702
NPI Enumeration Date:
23 Jan, 2007
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
Pharmacy
PP413275L
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
1007331830002
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:
619 Main St, Portage, Pennsylvania
Zip:
15946-1539
Phone Number:
814-736-4530
Fax Number:
814-736-9522
Patients can reach Mainline Cpl, Llc at 619 Main St, Portage, Pennsylvania or can call on customer care at 814-736-4530.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.