Organization
GUARDIAN HEALTHCARE PHARMACY, LLC
Active
Other names
GUARDIAN HEALTHCARE PHARMACY, LLC, GUARDIAN HEALTHCARE PHARMACY, GUARDIAN LONG TERM CARE PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J VARACALLO PHARM D (PHARMACY MANAGER)
(888) 503-7474
Entity
Organization
Contact information
Practice address
123 BRUBAKER RD, BROCKWAY, PA 15824-2505
(888) 503-7474
(877) 371-5677
Mailing address
123 BRUBAKER RD, BROCKWAY, PA 15824-2505
(888) 503-7474
(877) 371-5677
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP481523
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02163160000014708
—
OH
05
—
1015064750001
—
PA
01
—
2087733
PK
—
Enumeration date
07/30/2006
Last updated
11/14/2019
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