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NPI Code Detail

MEDICARE: HEALTHY COMMUNITY PHARMACY

MEDICARE: HEALTHY COMMUNITY PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacyPP481364PA
23336C0003XCommunity/Retail PharmacyPP481364PA

General Provider Information

NPI Number : 1104978584
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY COMMUNITY PHARMACY
Provider Business Mailing Address
First Line : 160 ROOSEVELT AVE
Second Line : SUITE 102
City : YORK
State : PA
Zip : 17401-3378
Country : US
Telephone Number : 717-812-3020
Fax Number : 717-848-2658
Provider Business Practice Location Address
First Line : 160 ROOSEVELT AVE
Second Line : SUITE 102
City : YORK
State : PA
Zip : 17401-3378
Country : US
Telephone Number : 717-812-3020
Fax Number : 717-848-2658
Authorized Official
Title or Position : DIRECTOR - WELLSPAN PHARMACY INC.
Name : MRS. MELLISA MOOK
Credential :
Telephone Number : 717-851-5895
Provider Enumeration Date : 01/17/2007
Last Update Date : 09/11/2025

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Directions to “HEALTHY COMMUNITY PHARMACY ” Practice Location

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