MEDICARE: KARWASKI PHARMACY INC

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	333600000X	Pharmacy	PP414724L	PA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3966162	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932122405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARWASKI PHARMACY INC

Provider Business Mailing Address
First Line	:	26 DALLAS VILLAGE SHOPPING CTR
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-1231
Country	:	US
Telephone Number	:	570-674-5577
Fax Number	:	570-675-1357

Provider Business Practice Location Address
First Line	:	26 DALLAS VILLAGE SHOPPING CTR
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-1231
Country	:	US
Telephone Number	:	570-674-5577
Fax Number	:	570-675-1357

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GARY KARWASKI
Credential	:
Telephone Number	:	570-674-5577

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	03/07/2023

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Directions to “KARWASKI PHARMACY INC ” Practice Location

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