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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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