| Organization Name: | BENECARD CENTRAL FILL OF PA LLC |
| NPI Number: | 1003053174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY LABASHOUSKY (PHARMACIST IN CHARGE) |
| Mailing Address: | 5040 Ritter Rd Mechanicsburg |
| State: | PA US |
| Postal Code: | 170554879 |
| Phone Number: | 8889070090 |
| Fax Number: | 8889070040 |
| NPI Enumeration Date: | 01/12/2009 |
| NPI Last Update Date: | 08/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336M0003X |
| License Number: | PP481892 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Managed Care Organization Pharmacy |
| Taxonomy Definition: | A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO |