Organization
GEISINGER PHARMACY LLC
Active
Other names
Geisinger Home Infusion Svcs.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EVANS (VP ENTERPRISE PHARMACY)
(570) 271-6192
Entity
Organization
Contact information
Practice address
44 WOODBINE LN, DANVILLE, PA 17821-8020
(570) 214-8503
(570) 271-5843
Mailing address
100 N ACADEMY AVE # MC24-01, DANVILLE, PA 17822-2401
(570) 214-8503
(570) 271-7953
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
PP414060L
PA
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09HI10
CAPITAL BLUE CROSS PROVID
PA
05
—
1000038000024
—
PA
05
—
1007535151387
—
PA
05
—
1038440050013
—
PA
01
—
132447
UNISON HEALTH PLAN
PA
01
—
1507155
GATEWAY PROVIDER #
PA
01
—
181925
BCNEPA ACCESS CARE PROV #
PA
01
—
243353
HIGHMARK BS PROVIDER #
PA
01
—
362013
AETNA PROVIDER NUMBER
PA
01
—
39JI10
KEYSTONE HEALTH CENTRAL
PA
01
—
95862
HEALTH AMERICA PROVIDER #
PA
01
—
996012
BC NEPA PROVIDER NUMBER
PA
01
—
GE205242
GEISINGER HEALTH PLAN HMO
PA
Enumeration date
05/26/2006
Last updated
01/06/2021
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