Provider Demographics
NPI:1144224585
Name:GKF INC
Entity Type:Organization
Organization Name:GKF INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST,OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:KING
Authorized Official - Last Name:FAWBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:717-697-0551
Mailing Address - Street 1:18 JENNIFER LN
Mailing Address - Street 2:
Mailing Address - City:DILLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17019-9151
Mailing Address - Country:US
Mailing Address - Phone:717-766-3015
Mailing Address - Fax:
Practice Address - Street 1:33 E SIMPSON ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3816
Practice Address - Country:US
Practice Address - Phone:717-697-0551
Practice Address - Fax:717-795-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414135L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3957199OtherNCPDP #
PA0011459600001Medicaid
PA0011459600001Medicaid
PA0528210001Medicare NSC