Organization
WEATHERLY AREA COMMUNITY PHARMACY LLC
Active
Other names
WEATHERLY AREA COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MELBER (OWNER)
(570) 325-2912
Entity
Organization
Contact information
Practice address
114 CARBON ST, WEATHERLY, PA 18255-1435
(570) 427-4887
(570) 427-4891
Mailing address
114 CARBON ST, WEATHERLY, PA 18255-1435
(570) 427-4887
(570) 427-4891
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411148L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025287260001
—
PA
01
—
2126214
PK
—
Enumeration date
05/24/2010
Last updated
03/01/2017
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