Organization
LANDIS SUPER MARKET INC
Active
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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