Organization
NELLS FAMILY MARKET OF HANOVER LLC
Active
Other names
Shurfine Pharmacy Hanover
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GRANGER (DIRECTOR OF PHARMACY)
(717) 324-4924
Entity
Organization
Contact information
Practice address
1424 BALTIMORE ST, HANOVER, PA 17331-8529
(717) 637-1075
(717) 637-3625
Mailing address
1424 BALTIMORE ST, HANOVER, PA 17331-8529
(717) 637-1075
(717) 637-3625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP415171L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150485
PK
—
Enumeration date
02/25/2015
Last updated
04/20/2015
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