Healthcare Provider Details

I. General information

NPI: 1144224585
Provider Name (Legal Business Name): GKF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 E SIMPSON ST
MECHANICSBURG PA
17055-3816
US

IV. Provider business mailing address

18 JENNIFER LN
DILLSBURG PA
17019-9151
US

V. Phone/Fax

Practice location:
  • Phone: 717-697-0551
  • Fax: 717-795-8395
Mailing address:
  • Phone: 717-766-3015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP414135L
License Number StatePA

VIII. Authorized Official

Name: MR. GEORGE KING FAWBER
Title or Position: PHARMACIST,OWNER
Credential: PHARMACIST
Phone: 717-697-0551