Organization
CSB PHARMACY INC
Active
Other names
Good Health Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRANJIVI JANNU (PHARMACIST)
(570) 828-7494
Entity
Organization
Contact information
Practice address
1592 ROUTE 739, SUITE # 2, DINGMANS FERRY, PA 18328-3513
(570) 828-7494
(570) 828-7594
Mailing address
1592 ROUTE 739, SUITE # 2, DINGMANS FERRY, PA 18328-3513
(570) 828-7494
(570) 828-7594
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023832560001
—
PA
01
—
2122181
PK
—
Enumeration date
09/30/2009
Last updated
02/07/2020
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