Organization
JEFFREY A BONJO
Active
Organization
JEFFREY A BONJO
Active
Other names
Greenway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BONJO (PHARMACIST/OWNER)
(814) 571-0770
Entity
Organization
Contact information
Practice address
310 S MAIN ST STE K, YEAGERTOWN, PA 17099-9709
(717) 953-9534
(717) 953-9536
Mailing address
310 S MAIN ST STE K, YEAGERTOWN, PA 17099-9709
(717) 953-9534
(717) 953-9536
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482208
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102778068
—
PA
01
—
2135249
PK
—
Enumeration date
11/19/2012
Last updated
11/16/2015
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