Organization
WERNERSVILLE STATE HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI A. EISNER (ADMINISTRATOR)
(717) 705-2774
Entity
Organization
Contact information
Practice address
160 MAIN ST, WERNERSVILLE, PA 19565-9490
(610) 670-4115
Mailing address
160 MAIN ST, WERNERSVILLE, PA 19565-9490
(610) 670-4115
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HP4170281L
PA
3336L0003X
Long Term Care Pharmacy
HP4170281L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3927615
NCPDP #
PA
Enumeration date
05/04/2007
Last updated
03/19/2018
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