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Organization
EVOLUTION PHARMACY SERVICE INC
Active
Organization
EVOLUTION PHARMACY SERVICE INC
Active
Other names
evolution pharmacy service inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME SAUTER RPH (PRESIDENT)
(570) 534-0995
Entity
Organization
Contact information
Practice address
401 LAUREL ST, PITTSTON, PA 18640-3557
(570) 534-0995
(570) 299-7896
Mailing address
401 LAUREL ST, PITTSTON, PA 18640-3557
(570) 534-0995
(570) 299-7896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PP482045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126766
PK
—
Enumeration date
09/20/2010
Last updated
01/17/2017
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