Organization
WILEY PHARMACY OF QUARRYVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R WILEY RPH (OWNER / VICE PRESIDENT)
(717) 786-1191
Entity
Organization
Contact information
Practice address
112 TOWNSEDGE DR, QUARRYVILLE, PA 17566-1300
(717) 786-1191
(717) 786-1228
Mailing address
112 TOWNSEDGE DR, QUARRYVILLE, PA 17566-1300
(717) 786-1191
(717) 786-1228
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP415510L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017490780001
—
PA
Enumeration date
09/15/2005
Last updated
05/21/2008
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