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Organization
SAMS CLUB PHARMACY
Active
Organization
SAMS CLUB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY GERST R. PH. (PHARMACIST)
(717) 561-0587
Entity
Organization
Contact information
Practice address
6781 GRAYSON RD, HARRISBURG, PA 17111-5138
(717) 561-0587
(717) 561-9942
Mailing address
6781 GRAYSON RD, HARRISBURG, PA 17111-5138
(717) 561-0587
(717) 561-9942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP1008138
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP039365L
PHARMACY LICENSE
PA
Enumeration date
09/26/2016
Last updated
09/26/2016
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