Wellspan Pharmacy
LBN: Wellspan Pharmacy Inc
Wellspan Pharmacy is an health care organization with primary practice located at 4910 Fairfield Rd Ste B Suite 2, Fairfield PA 17320-9510. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wellspan Pharmacy Inc can be contacted via phone (717) 642-8812, or through Charnetski, Kevin via phone (570) 262-6663.
Contact Information
Primary practice address
4910 Fairfield Rd Ste B Suite 2
Fairfield PA 17320-9510
Phone: (717) 642-8812
Fax: (717) 642-6691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PP415301L | Pennsylvania |
| Suppliers / Pharmacy | 333600000X | PP415301L | Pennsylvania |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP415301L | Pennsylvania |
Profile Details
| NPI number | 1689754079 |
|---|---|
| LBN Legal business name | Wellspan Pharmacy Inc |
| DBA Doing business as | Wellspan Pharmacy |
| Authorized official | Charnetski, Kevin PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Nov 2nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689754079 | NPPES |
| Pennsylvania | Other | PP415301L | PHARMACY LICENSE |
| Pennsylvania | MEDICAID | 1007431520005 | PHARMACY LICENSE |
| Pennsylvania | Other | 3973282 | PHARMACY LICENSE |
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