Organization
LANDIS SUPER MARKET INC
Active
Other names
LANDIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KILLORAN B.S.P (PIC/PHARMACY MANAGER)
(717) 919-8936
Entity
Organization
Contact information
Practice address
2685 COUNTY LINE RD, TELFORD, PA 18969-1075
(215) 723-2302
(215) 723-3144
Mailing address
2685 COUNTY LINE RD, TELFORD, PA 18969-1075
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018678030002
—
PA
01
—
2085685
PK
—
Enumeration date
11/03/2006
Last updated
02/27/2017
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