Healthcare Provider Details

I. General information

NPI: 1982685681
Provider Name (Legal Business Name): GDD PHARMACY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MARKET ST.
CAMP HILL PA
17011-4470
US

IV. Provider business mailing address

3300 MARKET ST.
CAMP HILL PA
17011-4470
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-4200
  • Fax: 717-731-0419
Mailing address:
  • Phone: 717-761-4200
  • Fax: 717-731-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP412785L
License Number StatePA

VIII. Authorized Official

Name: DARRIN W SILBAUGH
Title or Position: PRES
Credential:
Phone: 717-732-2112