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Organization

GERRITYS SUPERMARKET INC

Active
Other names
GERRITYS PHARMACY HANOVER
Organization subpart
No

Provider details

NPI number
Authorized official
LISA DENTE PHARMD RPH (PHARMACY MGR)
(570) 812-0016
Entity
Organization

Contact information

Practice address
2280 SANS SOUCI PKWY, HANOVER MALL, HANOVER TOWNSHIP, PA 18706-5049
(570) 812-0016
(570) 812-0017
Mailing address
950 N SOUTH RD, SCRANTON, PA 18504-1430
(570) 342-4144

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481598
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016870200001
PA
01
2087853
PK
Enumeration date
08/10/2006
Last updated
12/01/2016
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