Geisinger Pharmacy

LBN: Geisinger Wyoming Valley Medical Center
Geisinger Pharmacy is an health care organization with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Geisinger Wyoming Valley Medical Center can be contacted via phone (570) 808-7969, or through Evans, Michael A via phone (570) 271-6192.

Contact Information

Primary practice address
1000 E Mountain Dr Wilkes Barre PA 18711-0027
Fax: (570) 808-6157
Website:
Authorized official contact:
Name: Evans, Michael A

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP413841L Pennsylvania

Profile Details

NPI number 1487683348
LBN Legal business name Geisinger Wyoming Valley Medical Center
DBA Doing business as Geisinger Pharmacy
Authorized official Evans, Michael A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487683348 NPPES
Pennsylvania MEDICAID 1007535151275
Pennsylvania Other 2126055

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