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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