Organization
GEISINGER PHARMACY, LLC
Active
Other names
Geisinger Mail Order Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (DIRECTOR-RETAIL AND MAIL ORDER)
(570) 271-6912
Entity
Organization
Contact information
Practice address
210 INDUSTRIAL PARK RD, ELYSBURG, PA 17824-9770
(844) 878-5562
(570) 221-3711
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-2575
(570) 271-7965
(570) 271-7370
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PP482708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007535151365
—
PA
01
—
2167984
PK
—
Enumeration date
02/23/2017
Last updated
11/16/2020
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