Organization
SAMS CLUB
Active
Organization
SAMS CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ROSE CROUSE PHARMD (PHARMACY MANAGER)
(717) 516-3772
Entity
Organization
Contact information
Practice address
6520 CARLISLE PIKE STE 250, MECHANICSBURG, PA 17050-5251
(717) 516-3772
(717) 516-3184
Mailing address
6520 CARLISLE PIKE STE 250, MECHANICSBURG, PA 17050-5251
(717) 516-3772
(717) 516-3184
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP448459
PA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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