Organization
KEYSTONE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SALEM SALEM (OWNER)
(717) 260-9620
Entity
Organization
Contact information
Practice address
204 S 13TH ST, HARRISBURG, PA 17104-3377
(717) 260-9620
(717) 260-9621
Mailing address
204 S 13TH ST, HARRISBURG, PA 17104-3377
(717) 260-9620
(717) 260-9621
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482310
PA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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