Organization
WEIS MARKETS INC
Active
Other names
WEIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY MALTESE I RPH (VICE PRESIDENT PHARMACY)
(570) 863-2809
Entity
Organization
Contact information
Practice address
339 W WALNUT ST, SHAMOKIN, PA 17872-5225
(570) 648-7669
(570) 644-3979
Mailing address
1000 S 2ND ST, PO BOX 471, SUNBURY, PA 17801-3318
(570) 286-3623
(570) 988-3774
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP412209L
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0686170
—
PA
05
—
1007742100025
—
PA
01
—
3941071
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/09/2006
Last updated
02/07/2008
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