Healthcare Provider Details

I. General information

NPI: 1508862715
Provider Name (Legal Business Name): APS PHARMACY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 OVERLOOK DR
PITTSTON PA
18640-1058
US

IV. Provider business mailing address

225 OVERLOOK DR
PITTSTON PA
18640-1058
US

V. Phone/Fax

Practice location:
  • Phone: 570-655-1911
  • Fax: 570-655-1472
Mailing address:
  • Phone: 570-655-1911
  • Fax: 570-655-1472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP415505L
License Number StatePA

VIII. Authorized Official

Name: MR. JOSEPH T DEGRABA
Title or Position: PHARMACY MGR/VICE PRESIDENT
Credential: RPH
Phone: 570-655-1911