Organization
GERRITYS SUPERMARKET INC
Active
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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