Organization
KELLER & MUNRO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LEE PACKECH R.PH. (PRESIDENT)
(570) 748-5209
Entity
Organization
Contact information
Practice address
127 E CHURCH ST, LOCK HAVEN, PA 17745-2007
(570) 748-5209
(570) 748-7390
Mailing address
127 E CHURCH ST, LOCK HAVEN, PA 17745-2007
(570) 748-5209
(570) 748-7390
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012414660002
—
PA
01
—
3919226
NABP #
PA
Enumeration date
03/01/2006
Last updated
10/04/2011
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