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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