Penn Traffic Co is not a DME supplier for medicare equipments and products.
Penn Traffic Co is a Community/Retail Pharmacy in Du Bois, Pennsylvania. It is located at 100 N Main St, Du Bois and it's customer support contact number is 814-371-9000. The authorized person of Penn Traffic Co is Daniel J Mahoney, ESQ. who is Svp/general Counsel of the pharmacy and his contact number is 315-461-2347. Penn Traffic Co is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Penn Traffic Co 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:
Penn Traffic Co
Type:
Community/Retail Pharmacy
Location:
100 N Main St, Du Bois, Pennsylvania, 15801-1888
Phone:
814-371-9000
Fax:
814-375-9704
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:
Daniel J Mahoney
Credentials:
ESQ.
Position:
Svp/general Counsel
Contact Number:
315-461-2347
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:
1629099940
NPI Enumeration Date:
21 Jul, 2006
NPI Last Update On:
10 Feb, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penn Traffic Co are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacy
PP412682L
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
3961035
Other
Ncpdp
3961035
Other
Other Id Number-commercial Number
01215180
Medicaid
Pennsylvania
1007783900001
Other
Pa Promise- Medicaid
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1200 State Fair Blvd, Syracuse, New York
Zip:
13209-1070
Phone Number:
--
Fax Number:
--
Patients can reach Penn Traffic Co at 100 N Main St, Du Bois, Pennsylvania or can call on customer care at 814-371-9000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Du Bois, Pennsylvania
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