# SYNERGY GRANDVIEW PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881624096
- **Authorized official:** MS. AMANDA GAY KESSLER ESQ, LL.M (CEO)
- **Authorized official phone:** (570) 473-7506

## Contact information

- **Practice address:** 173 POINT TOWNSHIP DR, NORTHUMBERLAND, PA 17857-8889
- **Practice address phone:** (570) 473-7506
- **Practice address fax:** (570) 473-9336
- **Mailing address:** PO BOX 298, NORTHUMBERLAND, PA 17857-0298
- **Mailing address phone:** (570) 473-7506
- **Mailing address fax:** (570) 473-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PP-413673-L | PA | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 02/21/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01617927 | — | PA |