Palmer Pharmacy Llc in Russellton - Pharmacy
Palmer Pharmacy Llc - NPI 1922160548
Palmer Pharmacy Llc is a Pharmacy in Russellton, Pennsylvania. Palmer Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Palmer Pharmacy Llc is 1922160548. The last update date is 2019-07-15.
Palmer Pharmacy Llc's current location address is 738 Little Deer Creek Valley Road Po Box 29, Russellton, Pennsylvania. You can contact this provider via phone number 7242651632 and fax number 7242651120. The mailing address for Palmer Pharmacy Llc is 738 Little Deer Creek Valley Road Po Box 29, Russellton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palmer Pharmacy Llc |
|---|---|
| Address | 738 Little Deer Creek Valley Road Po Box 29, Russellton, Pennsylvania |
| Phone Number | 7242651632 |
| Fax Number | 7242651120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sullivan Marie Kaitlyn |
| Credentials | PHARMD |
| Telephone Number | 7242651632 |
NPI Number Detail
| NPI Number | 1922160548 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2019-07-15 |
Provider Mailing Address Detail
| Address | 738 Little Deer Creek Valley Road Po Box 29 |
|---|---|
| City | Russellton |
| State | Pennsylvania (PA) |
| Post Code | 150760029 |
| Phone Number | 7242651632 |
| Fax Number | 7242651120 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2082069 | PK | ||
| 1036260510001 | PA | -- |
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What is the unique 10-digit identification code assigned to Palmer Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Palmer Pharmacy Llc has been issued the NPI (National Provider Identifier) 1922160548, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Palmer Pharmacy Llc located?
The Palmer Pharmacy Llc is located at 738 Little Deer Creek Valley Road Po Box 29, Russellton, PA 150760029.
What is the Palmer Pharmacy Llc's specialty and taxonomy code?
The Palmer Pharmacy Llc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922160548 to Palmer Pharmacy Llc?
The Centers for Medicare & Medicaid Services assigned the 1922160548 to Palmer Pharmacy Llc on 2006-12-14.
As of what date were the Palmer Pharmacy Llc's details last updated?
The information pertaining to the Palmer Pharmacy Llc, including its address, specialty, and other details, was most recently updated on 2019-07-15.
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