Organization
LANDIS SUPER MARKET INC
Active
Other names
LANDIS PHARMACY VERNFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUTEKUNST RPH (PIC)
(215) 513-3053
Entity
Organization
Contact information
Practice address
2700 SHELLY RD, HARLEYSVILLE, PA 19438-1281
(215) 513-3053
(215) 513-3052
Mailing address
2700 SHELLY RD, HARLEYSVILLE, PA 19438-1281
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481624
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018678030002
—
PA
01
—
2088154
PK
—
Enumeration date
09/21/2006
Last updated
07/12/2016
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