Organization
GEISINGER PHARMACY, LLC
Active
Organization
GEISINGER PHARMACY, LLC
Active
Other names
Geisinger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (VP ENTERPRISE PHARMACY)
(570) 271-6192
Entity
Organization
Contact information
Practice address
114 LT MICHAEL CLEARY DR, DALLAS, PA 18612-1649
(570) 255-1167
(570) 255-1169
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2575
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482126
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007535151292
—
PA
01
—
2130034
PK
—
Enumeration date
04/21/2011
Last updated
11/16/2020
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