Organization
SOVEREIGN COVENANT PHARMACY LLC
Active
Other names
Carl's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE G MYERS RPH (OWNER)
(717) 597-2426
Entity
Organization
Contact information
Practice address
145 N ANTRIM WAY, GREENCASTLE, PA 17225-1403
(717) 597-2426
(717) 597-3705
Mailing address
145 N ANTRIM WAY, GREENCASTLE, PA 17225-1403
(717) 597-2426
(717) 597-3705
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP410348L
PA
333600000X
Pharmacy
PP410348L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410348L
PA
Other
Enumeration date
05/24/2005
Last updated
01/26/2024
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