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General NPI Number Information
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NPI Number | 1477435204
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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 | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 240 MALL BLVD STE 104
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8306
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Country | US
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Telephone | 570-416-8241
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Fax | 570-416-8240
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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 | 17822-2404
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Country | US
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Telephone | 570-271-7965
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Fax | 570-271-7965
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | MICHAEL EVANS
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Credential | RPH
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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 | 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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