Healthcare Provider Details

I. General information

NPI: 1497272728
Provider Name (Legal Business Name): WEIS MARKETS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 02/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 DUTCHMAN'S CREEK DRIVE
BRUNSWICK MD
21716
US

IV. Provider business mailing address

PO BOX 471
SUNBURY PA
17801-0471
US

V. Phone/Fax

Practice location:
  • Phone: 301-834-4805
  • Fax: 301-834-4809
Mailing address:
  • Phone: 570-286-3623
  • Fax: 570-988-3774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP07633
License Number StateMD

VIII. Authorized Official

Name: RICHARD W. SEIPP
Title or Position: VICE PRESIDENT, PHARMACY
Credential: RPH
Phone: 570-863-2812