Organization
SYNERGY GRANDVIEW PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA GAY KESSLER ESQ, LL.M (CEO)
(570) 473-7506
Entity
Organization
Contact information
Practice address
173 POINT TOWNSHIP DR, NORTHUMBERLAND, PA 17857-8889
(570) 473-7506
(570) 473-9336
Mailing address
PO BOX 298, NORTHUMBERLAND, PA 17857-0298
(570) 473-7506
(570) 473-9336
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PP-413673-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01617927
—
PA
Enumeration date
07/04/2006
Last updated
02/21/2018
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