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Contact Information

WELLSPAN PHARMACY, INC.
40 V TWIN DRIVE
SUITE 107
GETTYSBURG, PA17325
 Phone: 717-339-2600
 Fax: 717-339-2601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WELLSPAN PHARMACY, INC.

NPI # 1851494017
LBN Legal business name WELLSPAN PHARMACY, INC.
Authorized official KEVIN CHARNETSKI - (SENIOR PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 11/02/2023 - About 3 years ago
Identifiers
PA License # PP415348L
PA Medicaid 1007746500013
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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