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Organization
CK-KC LTC, INC
Active
Organization
CK-KC LTC, INC
Active
Other names
HERSHEY LONG TERM CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES KRAY RPH (PRESIDENT)
(717) 832-2050
Entity
Organization
Contact information
Practice address
1200 GRUBB STREET, PALMYRA, PA 17078
(717) 832-2050
(717) 832-2051
Mailing address
1200 GRUBB RD, PALMYRA, PA 17078-3514
(717) 832-2050
(717) 832-2051
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415557L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA1865498
—
PA
Enumeration date
09/21/2006
Last updated
12/18/2020
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