# PALMER PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PALMER PHARMACY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356194112
- **Legal business name:** PALMER PHARMACY LLC
- **Authorized official:** KAITLYN MARIE SULLIVAN PHARMD (OWNER AND PHARMACIST)
- **Authorized official phone:** (724) 265-1632

## Contact information

- **Practice address:** 738 LITTLE DEER CREEK VALLEY RD, RUSSELLTON, PA 15076-1333
- **Practice address phone:** (724) 265-1632
- **Practice address fax:** (724) 265-1120
- **Mailing address:** 738 LITTLE DEER CREEK VALLEY ROAD, PO BOX 29, RUSSELLTON, PA 15076
- **Mailing address phone:** (724) 265-1632
- **Mailing address fax:** (724) 265-1120

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/16/2024