# CRESTWOOD PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestwood Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245006527
- **Authorized official:** MRS. JESSICA LYNN ORLOSKI PHARMD (MEMBER)
- **Authorized official phone:** (570) 474-5859

## Contact information

- **Practice address:** 10 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1199
- **Practice address phone:** (570) 474-5859
- **Practice address fax:** (570) 474-9594
- **Mailing address:** 10 S MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1199
- **Mailing address phone:** (570) 474-5859
- **Mailing address fax:** (570) 474-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023