| NPI | 1154607497 |
|---|---|
| Doing Business As | GERRITYS PHARMACY KEYSER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH FASULA Vice President 570-342-4144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482203) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2014-11-25 |