Organization
HAMILTON HEALTH CENTER, INC
Active
Organization
HAMILTON HEALTH CENTER, INC
Active
Other names
Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IEISHA JOHNSON (SENIOR CREDENTIALING SPECIALIST)
(717) 232-9971
Entity
Organization
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
PA
01
—
PP482993
LICENSE
PA
Enumeration date
01/19/2021
Last updated
08/31/2022
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