Organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Active
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other names
General Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 832-0700
(570) 832-0123
Mailing address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 823-0123
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP414529L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3963635
NCPDP
PA
Enumeration date
02/21/2007
Last updated
04/30/2021
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