Provider Demographics
NPI:1386843712
Name:HARROLDS PHARMACY INFUSION SERVICES
Entity Type:Organization
Organization Name:HARROLDS PHARMACY INFUSION SERVICES
Other - Org Name:HARROLDS PHARMACY INFUSION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-822-5794
Mailing Address - Street 1:250 OLD RIVER RD
Mailing Address - Street 2:STE B
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-1621
Mailing Address - Country:US
Mailing Address - Phone:570-822-5794
Mailing Address - Fax:570-824-8730
Practice Address - Street 1:250 OLD RIVER RD
Practice Address - Street 2:STE B
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-1621
Practice Address - Country:US
Practice Address - Phone:570-822-5794
Practice Address - Fax:570-824-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
PAPP481602332B00000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2081973OtherPK