Organization
SUREHEALTH LTC LLC
Active
Organization
SUREHEALTH LTC LLC
Active
Parent organization
SUREHEALTH LLC
Other names
SureHealth LTC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUREHEALTH LLC
Authorized official
MR. JAMES M MESSINA (PRESIDENT/CEO)
(570) 271-7285
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, MC 24-15, DANVILLE, PA 17822-9800
(570) 271-7965
(570) 271-7370
Mailing address
100 N ACADEMY AVE, MC 24-15, DANVILLE, PA 17822-2415
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP415549L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397614
PACE
PA
05
—
101138074-0001
—
PA
Enumeration date
07/11/2006
Last updated
10/24/2007
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