Organization
WELLSPAN PHARMACY INC
Active
Organization
WELLSPAN PHARMACY INC
Active
Other names
WellSpan Ephrata Pharmacy, Wellspan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CHARNETSKI PHARM D (DIRECTOR)
(570) 262-6663
Entity
Organization
Contact information
Practice address
183 N READING RD STE 9, SUITE 9, EPHRATA, PA 17522-1647
(717) 721-5784
(717) 733-0025
Mailing address
PO BOX 20129, YORK, PA 17402-0140
(717) 851-6903
(717) 851-5407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482606
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007746500015
—
PA
01
—
2154806
PK
—
Enumeration date
10/29/2015
Last updated
08/14/2026
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