Provider Demographics
NPI:1689292021
Name:WILEY PHARMACY OF STRASBURG INC
Entity Type:Organization
Organization Name:WILEY PHARMACY OF STRASBURG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-898-8804
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579-0326
Mailing Address - Country:US
Mailing Address - Phone:717-898-8804
Mailing Address - Fax:717-898-0048
Practice Address - Street 1:300 HISTORIC DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579-1460
Practice Address - Country:US
Practice Address - Phone:717-898-8804
Practice Address - Fax:717-898-0048
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILEY'S PHARMACY OF STRASBURG
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy