Organization
GDD PHARMACY SERVICES INC
Active
Organization
GDD PHARMACY SERVICES INC
Active
Other names
Pine Grove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN SILBAUGH (PRES)
(717) 732-2112
Entity
Organization
Contact information
Practice address
10 E POTTSVILLE ST, PINE GROVE, PA 17963-1100
(570) 345-4422
(570) 345-8708
Mailing address
10 E POTTSVILLE ST, PINE GROVE, PA 17963-1100
(570) 345-4422
(570) 345-8708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PP411879L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017986620004
—
PA
01
—
2160331
PK
—
Enumeration date
02/11/2007
Last updated
04/12/2024
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