Organization
LLEWELLYN'S LTC
Active
Parent organization
LLEWELLYNS INC
Other names
LLEWELLYN'S INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LLEWELLYNS INC
Authorized official
MR. JOSEPH ROBERT DESANTO (PRESIDENT)
(570) 457-2221
Entity
Organization
Contact information
Practice address
703B MAIN ST, AVOCA, PA 18641
(570) 237-8000
Mailing address
703 B MAIN ST, AVOCA, PA 18641
(570) 457-2221
(570) 457-3224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PP411400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017030320001
—
PA
Enumeration date
01/14/2010
Last updated
01/29/2016
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