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Organization

WEIS MARKETS INC

Active
Other names
WEIS PHARMACY #203
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY MALTESE RPH (VICE PRESIDENT PHARMACY)
(570) 863-2809
Entity
Organization

Contact information

Practice address
6 MILLBROOK PLZ, MILL HALL, PA 17751-1911
(570) 748-1130
(570) 748-1126
Mailing address
1000 S 2ND ST, PO BOX 471, SUNBURY, PA 17801-3318
(570) 286-3623
(570) 988-3774

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP414612L
PA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007742100046
PA
05
1281710
PA
01
3964699
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/09/2006
Last updated
05/17/2011
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