Organization
COMMUNITY MEDICAL CENTER
Active
Other names
Geisinger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (VP ENTERPRISE PHARMACY)
(570) 271-6192
Entity
Organization
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-6000
(570) 703-6001
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2404
(570) 703-6000
(570) 703-6001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007456760041
—
PA
01
—
PP483000
PHARMACY LICENSE
PA
Enumeration date
02/16/2021
Last updated
08/27/2025
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