Organization
SVM1 PHARMA INC
Active
Other names
MODNUR PRESCRIPTION PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA KONERU (MANAGER)
(717) 462-9543
Entity
Organization
Contact information
Practice address
52 KEEFER DR, MERCERSBURG, PA 17236-1732
(717) 328-3612
(717) 328-0159
Mailing address
52 KEEFER DR, MERCERSBURG, PA 17236-1732
(717) 328-3612
(717) 328-0159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP411136L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029319930001
—
PA
01
—
2145433
PK
—
Enumeration date
11/06/2006
Last updated
02/16/2023
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