Organization
WEATHERLY AREA COMMUNITY PHARMACY LLC
Active
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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