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NPI Code Detail

MEDICARE: APS PHARMACY SERVICES, INC.

MEDICARE: APS PHARMACY SERVICES, INC.
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
1333600000XPharmacyPP415505LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23975527OTHERPANABP

General Provider Information

NPI Number : 1508862715
Entity Type Code : Organization
Provider Name (Legal Business Name) : APS PHARMACY SERVICES, INC.
Provider Business Mailing Address
First Line : 225 OVERLOOK DR
Second Line :
City : PITTSTON
State : PA
Zip : 18640-1058
Country : US
Telephone Number : 570-655-1911
Fax Number : 570-655-1472
Provider Business Practice Location Address
First Line : 225 OVERLOOK DR
Second Line :
City : PITTSTON
State : PA
Zip : 18640-1058
Country : US
Telephone Number : 570-655-1911
Fax Number : 570-655-1472
Authorized Official
Title or Position : PHARMACY MGR/VICE PRESIDENT
Name : MR. JOSEPH T DEGRABA
Credential : RPH
Telephone Number : 570-655-1911
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/22/2020

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Directions to “APS PHARMACY SERVICES, INC. ” Practice Location

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