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Organization

WELLSPAN PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN CHARNETSKI PHARM D (SENIOR PHARMACY MANAGER)
(570) 262-6663
Entity
Organization

Contact information

Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 741-8151
Mailing address
PO BOX 20129, YORK, PA 17402-0140
(717) 851-6903
(717) 851-5407

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007746500016
PA
Enumeration date
11/11/2016
Last updated
11/02/2023
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