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Organization

WEIS MARKETS INC

Active
Other names
WEIS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY MALTESE RPH (VICE PRESIDENT PHARMACY)
(570) 863-2809
Entity
Organization

Contact information

Practice address
ROUTE 209 AND E WEIR LAKE RD, BRODHEADSVILLE, PA 18322
(570) 992-5114
(570) 992-0788
Mailing address
1000 S 2ND ST, PO BOX 471, SUNBURY, PA 17801-3318
(570) 286-3623
(570) 988-3774

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415337L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007742100021
PA
05
1667992
PA
01
3973674
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/09/2006
Last updated
09/03/2008
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