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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