Organization
WEIS MARKETS INC
Active
Other names
WEIS PHARMACY #121
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS J. CICCO PHARM D (VICE PRESIDENT, PHARMACY)
(570) 286-3201
Entity
Organization
Contact information
Practice address
30015 THREE NOTCH RD, CHARLOTTE HALL, MD 20622-4120
(301) 905-0964
Mailing address
PO BOX 471, SUNBURY, PA 17801-0471
(570) 286-3623
(570) 988-3774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0349270171
PTAN
MD
01
—
2146098
NCPDP
MD
05
—
229737000
—
MD
Enumeration date
06/20/2025
Last updated
09/19/2025
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