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NPI Code Detail

MEDICARE: GEISINGER PHARMACY LLC

MEDICARE: GEISINGER PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251F00000XHome Infusion AgencyPP414060LPA
2333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11507155OTHERPAGATEWAY PROVIDER #
2243353OTHERPAHIGHMARK BS PROVIDER #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
439JI10OTHERPAKEYSTONE HEALTH CENTRAL
5GE205242OTHERPAGEISINGER HEALTH PLAN HMO
6132447OTHERPAUNISON HEALTH PLAN
709HI10OTHERPACAPITAL BLUE CROSS PROVID
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10181925OTHERPABCNEPA ACCESS CARE PROV #
11362013OTHERPAAETNA PROVIDER NUMBER
1295862OTHERPAHEALTH AMERICA PROVIDER #
13996012OTHERPABC NEPA PROVIDER NUMBER

General Provider Information

NPI Number : 1134175581
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEISINGER PHARMACY LLC
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE # MC24-01
Second Line :
City : DANVILLE
State : PA
Zip : 17822-2401
Country : US
Telephone Number : 570-214-8503
Fax Number : 570-271-7953
Provider Business Practice Location Address
First Line : 44 WOODBINE LN
Second Line :
City : DANVILLE
State : PA
Zip : 17821-8020
Country : US
Telephone Number : 570-214-8503
Fax Number : 570-271-5843
Authorized Official
Title or Position : VP ENTERPRISE PHARMACY
Name : MICHAEL EVANS
Credential :
Telephone Number : 570-271-6192
Provider Enumeration Date : 05/26/2006
Last Update Date : 01/06/2021

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Directions to “GEISINGER PHARMACY LLC ” Practice Location

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