Healthcare Provider Details

I. General information

NPI: 1932264827
Provider Name (Legal Business Name): CHEMRX SALERNOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 02/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BR 209 & BOSSARDSVILLE RD
SCIOTA PA
18354
US

IV. Provider business mailing address

HC 1 BOX 30
SCIOTA PA
18354-9701
US

V. Phone/Fax

Practice location:
  • Phone: 570-992-6300
  • Fax: 570-402-2900
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP415135L
License Number StatePA

VIII. Authorized Official

Name: BARRY SCHEPP
Title or Position: EXECT DIR
Credential:
Phone: 410-409-5855