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General NPI Number Information
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NPI Number | 1346366879
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Entity Type | Organization
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Legal Business Name | GEISINGER PHARMACY, LLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 620 BALTIMORE DR STE 100
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City | WILKES BARRE
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State | PA
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Zip | 18702-7957
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Country | US
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Telephone | 570-208-4721
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Fax | 570-208-4726
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-2575
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Country | US
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Telephone | 570-271-7965
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Fax | 570-271-7370
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Authorized Official
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Title or Position | DIRECTOR-RETAIL AND MAIL ORDER
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Name | MICHAEL A EVANS
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Credential |
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Telephone | 570-271-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PP481700
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License Number State | PA
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