Organization
EVOLUTION PHARMACY SERVICE INC
Active
Other names
evolution pharmacy service inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME SAUTER RPH (PRESIDENT)
(570) 534-0995
Entity
Organization
Contact information
Practice address
401 LAUREL ST, PITTSTON, PA 18640-3557
(570) 534-0995
(570) 299-7896
Mailing address
401 LAUREL ST, PITTSTON, PA 18640-3557
(570) 534-0995
(570) 299-7896
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP482045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126766
PK
—
Enumeration date
09/20/2010
Last updated
01/17/2017
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