Organization
TRUCKSVILLE PHARMACY LLC
Active
Other names
TRUCKSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BILLEK RPH (OWNER AND MANAGER)
(570) 696-2222
Entity
Organization
Contact information
Practice address
13 CARVERTON RD, TRUCKSVILLE, PA 18708-1712
(570) 696-2222
(570) 696-0959
Mailing address
13 CARVERTON RD, TRUCKSVILLE, PA 18708-1712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PP412733L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007854450001
—
PA
01
—
3913349
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/31/2006
Last updated
09/11/2025
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