# CHEM RX PHARMACY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chem Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780985077
- **Authorized official:** THOMAS CANERIS (VICE PRESIDENT)
- **Authorized official phone:** (502) 627-7100

## Contact information

- **Practice address:** BR 209 & BOSSARDSVILLE RD, SCIOTA, PA 18354
- **Practice address phone:** (570) 992-6300
- **Practice address fax:** (570) 402-2900
- **Mailing address:** BR 209 & BOSSARDSVILLE RD, SCIOTA, PA 18354
- **Mailing address phone:** (570) 992-6300
- **Mailing address fax:** (570) 402-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PENDING | PA | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 01/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3994983 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |