Organization
RUSSEL ALAN GOBEILLE
Active
Other names
BEWARD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL GOBEILLE RPH (OWNER)
(717) 436-6844
Entity
Organization
Contact information
Practice address
27 CJEMS LANE, MIFFLINTOWN, PA 17059
(717) 436-6844
(717) 436-6644
Mailing address
PO BOX 192, MIFFLINTOWN, PA 17059-0192
(717) 436-6844
(717) 436-6644
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410186L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000950066
—
PA
01
—
3919834
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
08/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us