Organization
GEISINGER PHARMACY, LLC
Active
Other names
Geisinger Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (DIRECTOR-RETAIL AND MAIL ORDER)
(570) 271-6192
Entity
Organization
Contact information
Practice address
620 BALTIMORE DR STE 100, WILKES BARRE, PA 18702-7957
(570) 208-4721
(570) 208-4726
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2575
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PP481700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038440050012
—
PA
01
—
2146798
PK
—
Enumeration date
03/22/2007
Last updated
08/27/2025
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