Organization
HALLSTEAD FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL JURASKA (MANAGING MEMBER)
(570) 879-9553
Entity
Organization
Contact information
Practice address
36 ROSE ST, HALLSTEAD, PA 18822
(570) 879-9553
Mailing address
36 ROSE ST, SUSQUEHANNA, PA 18847-8874
(570) 879-9553
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
07/10/2020
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