# PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Danville State Hospital Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134332265
- **Authorized official:** PATTI A. EISNER (ADMINISTRATOR)
- **Authorized official phone:** (717) 705-2774

## Contact information

- **Practice address:** 50 KIRKBRIDE DR, DANVILLE, PA 17821-8630
- **Practice address phone:** (570) 271-4510
- **Practice address fax:** (570) 271-4514
- **Mailing address:** 50 KIRKBRIDE DR, DANVILLE, PA 17821-8630
- **Mailing address phone:** (570) 271-4510
- **Mailing address fax:** (570) 271-4514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | HP417006L | PA | Yes |
| 3336L0003X | Long Term Care Pharmacy | HP417006L | PA | — |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 10/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3933707 | NCPDP NUMBER | PA |