Organization
EPHRATA COMMUNITY HOSPITAL
Active
Parent organization
EPHRATA COMMUNITY HOSPITAL
Other names
WellSpan Cancer Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPHRATA COMMUNITY HOSPITAL
Authorized official
MRS. CARRIE WILLETTS (PRESIDENT)
(717) 738-2517
Entity
Organization
Contact information
Practice address
169 MARTIN AVENUE, EPHRATA, PA 17522-1002
(717) 738-2517
(717) 733-9442
Mailing address
169 MARTIN AVENUE, EPHRATA, PA 17522-1002
(717) 738-2517
(717) 733-9442
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP481118
PA
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3993373
NCPDP PROVIDER ID
PA
01
—
3993373
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2010
Last updated
03/15/2016
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