Organization
GEISINGER PHARMACY LLC
Active
Other names
Geisinger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (VP ENTERPRISE PHARMACY)
(570) 271-6192
Entity
Organization
Contact information
Practice address
27 CJEMS LN, MIFFLINTOWN, PA 17059-8384
(717) 436-0170
(717) 436-0171
Mailing address
100 N ACADEMY AVE # MC24-04, DANVILLE, PA 17822-2404
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038440050015
—
PA
01
—
PP483022
STATE BOARD OF PHARMACY
PA
Enumeration date
07/19/2021
Last updated
08/27/2025
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