Organization
PRICE CHOPPER OPERATING CO OF PA. INC
Active
Other names
PRICE CHOPPER PHARMACY, PRICE CHOPPER PHARMACY #222
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT RPH, MS (VP OF PHARMACY)
(518) 379-1122
Entity
Organization
Contact information
Practice address
245 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6705
(570) 825-3037
(570) 825-5365
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481885
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007190005
MEDICARE DMEPOS
PA
05
—
1007676190012
—
PA
01
—
2117384
PK
—
Enumeration date
10/10/2008
Last updated
02/15/2019
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