Healthcare Provider Details

I. General information

NPI: 1215087242
Provider Name (Legal Business Name): GEISINGER PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GATEWAY DR
REEDSVILLE PA
17084-9641
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-2575
US

V. Phone/Fax

Practice location:
  • Phone: 717-363-9315
  • Fax: 717-363-9316
Mailing address:
  • Phone: 570-271-7965
  • Fax: 570-271-7370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP414038L
License Number StatePA

VIII. Authorized Official

Name: MICHAEL A EVANS
Title or Position: VP ENTERPRISE PHARMACY
Credential:
Phone: 570-271-6192