Healthcare Provider Details

I. General information

NPI: 1588055826
Provider Name (Legal Business Name): CAROLINE GELWICKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 WESTMINSTER DR
CARLISLE PA
17013-3117
US

IV. Provider business mailing address

810 PETERSBURG RD
CARLISLE PA
17015-9218
US

V. Phone/Fax

Practice location:
  • Phone: 717-249-3509
  • Fax:
Mailing address:
  • Phone: 717-418-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: