Healthcare Provider Details

I. General information

NPI: 1356343800
Provider Name (Legal Business Name): MILLERSBURG PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 MARKET ST
MILLERSBURG PA
17061-1334
US

IV. Provider business mailing address

242 MARKET ST
MILLERSBURG PA
17061-1334
US

V. Phone/Fax

Practice location:
  • Phone: 717-692-2161
  • Fax: 717-692-2162
Mailing address:
  • Phone: 717-692-2161
  • Fax: 717-692-2162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP 028112L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE MARTIN MCALANIS
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 717-692-2161