Organization
GEISINGER PHARMACY LLC
Active
Other names
Geisinger Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A EVANS (VP ENTERPRISE PHARMACY)
(570) 271-6192
Entity
Organization
Contact information
Practice address
620 BALTIMORE DR STE 100, WILKES BARRE, PA 18702-7957
(570) 208-4721
(570) 208-4726
Mailing address
25 CHURCH ST FL 4, WILKES BARRE, PA 18765-0999
(570) 208-4721
(570) 208-4726
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038440050012
—
PA
Enumeration date
10/25/2021
Last updated
09/04/2024
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