Organization
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA
Active
Other names
Gino Merli Veterans' Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
(814) 242-7789
Entity
Organization
Contact information
Practice address
401 PENN AVE, SCRANTON, PA 18503-1213
(570) 961-4300
Mailing address
401 PENN AVE, SCRANTON, PA 18503-1213
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
HP418379L
PA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
05/24/2022
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