Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
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
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7969
(570) 808-6157
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2575
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP413841L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007535151275
—
PA
01
—
2126055
PK
—
Enumeration date
07/02/2006
Last updated
10/30/2020
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