Organization
NELLS FAMILY MARKET OF WALNUT BOTTOM LLC
Active
Other names
Shurfine Pharmacy Walnut Bottom
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GRANGER (DIRECTOR OF PHARMACY)
(717) 324-4924
Entity
Organization
Contact information
Practice address
950 WALNUT BOTTOM RD, CARLISLE, PA 17015-7636
(717) 243-3468
(717) 243-4610
Mailing address
950 WALNUT BOTTOM RD, CARLISLE, PA 17015-7636
(717) 243-3468
(717) 243-4610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481485L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150484
PK
—
Enumeration date
02/25/2015
Last updated
09/14/2015
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