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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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