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General NPI Number Information
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NPI Number | 1962444737
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Entity Type | Organization
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Legal Business Name | SUREHEALTH LTC PHARMACY
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 175 S WILKES BARRE BLVD STE B
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City | WILKES BARRE
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State | PA
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Zip | 18702-5040
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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 | 17822-2415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | JAMES MESSINA
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Credential | RPH
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Telephone | 570-271-7285
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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 | PP415549L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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