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Organization
CCRX
Active
Organization
CCRX
Active
Other names
APS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAJAL KUMAR ROY PHARMD (DIRECTOR OF PHARMACY)
(570) 655-1911
Entity
Organization
Contact information
Practice address
225 OVERLOOK DR, PITTSTON, PA 18640-1058
(157) 065-5191
Mailing address
225 OVERLOOK DR, PITTSTON, PA 18640-1058
(157) 065-5191
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415505L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912080656
NPI
PA
01
—
3975227
NCPDP
PA
Enumeration date
12/05/2007
Last updated
12/05/2007
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