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General NPI Number Information
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NPI Number | 1548709561
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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 | 02/23/2017
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 210 INDUSTRIAL PARK RD
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City | ELYSBURG
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State | PA
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Zip | 17824-9770
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Country | US
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Telephone | 844-878-5562
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Fax | 570-221-3711
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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 | 570-271-6912
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PP482708
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License Number State | PA
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