Provider Demographics
NPI: | 1497377501 |
---|---|
Name: | LEHIGH VALLEY HOSPITAL - SCHUYLKILL |
Entity Type: | Organization |
Organization Name: | LEHIGH VALLEY HOSPITAL - SCHUYLKILL |
Other - Org Name: | LEHIGH VALLEY PHARMACY SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CLIN REV APPS AND SUPPORT ANALYST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALLISON |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MILLER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 484-884-3219 |
Mailing Address - Street 1: | 700 E NORWEGIAN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | POTTSVILLE |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17901-2710 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 570-621-4154 |
Mailing Address - Fax: | 570-621-4963 |
Practice Address - Street 1: | 700 E NORWEGIAN ST |
Practice Address - Street 2: | |
Practice Address - City: | POTTSVILLE |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17901-2710 |
Practice Address - Country: | US |
Practice Address - Phone: | 570-621-4154 |
Practice Address - Fax: | 570-621-4963 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-05-12 |
Last Update Date: | 2022-07-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |