MEDICARE: SR 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1770250029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SR PHARMACY

Provider Business Mailing Address
First Line	:	146 ROBIN LN APT T6
Second Line	:
City	:	HUMMELSTOWN
State	:	PA
Zip	:	17036-8249
Country	:	US
Telephone Number	:	717-982-2683
Fax Number	:

Provider Business Practice Location Address
First Line	:	3831 WALNUT ST UNIT C
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-2533
Country	:	US
Telephone Number	:	717-220-8874
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	SUNITABEN ALPESH PATEL
Credential	:	PHARM D.
Telephone Number	:	717-982-2683

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	08/25/2021

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Directions to “SR PHARMACY ” Practice Location

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