Geisinger Wyoming Valley Medical Center
Pharmacy, Community/Retail Pharmacy in Wilkes Barre, PA. Organization (NPI-2).
NPI number1487683348
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1487683348
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Wyoming Valley Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Oct 29, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PP413841L | PA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Geisinger Pharmacy (Doing Business As)
Practice location
1000 E Mountain DrWilkes Barre, PA 18711-0027
Phone 570-808-7969 · Fax 570-808-6157
Mailing address
100 N Academy AveDanville, PA 17822-2575
Phone 570-271-7965 · Fax 570-271-7370
Authorized official
Michael A Evans
Vp Enterprise Pharmacy
5702716192
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