OrganizationActive
Department of Military Affairs Commonwealth of Pennsylvania
NPI 1104181189 · Long Term Care Pharmacy · Scranton, PA
Provider details
- NPI number
- 1104181189
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Thomas Reed, Fiscal Services Administrator
- License
- HP418379L (PA)
Mailing address
401 Penn Ave
Scranton, PA 18503-1213
Registry dates
- Enumerated
- 2012-07-06
- Last updated
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.