Organization Name: | KEYSTONE CHOICE PHARMACY LLC |
NPI Number: | 1699162909 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON PAUL LETKO (PRESIDENT) |
Mailing Address: | 432 Cedarville Rd Easton |
State: | PA US |
Postal Code: | 180426907 |
Phone Number: | 8005173797 |
Fax Number: | 8442309314 |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |