Provider Demographics
NPI:1700142536
Name:WEIS MARKETS INC
Entity Type:Organization
Organization Name:WEIS MARKETS INC
Other - Org Name:WEIS MARKETS CORPORATE
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:W
Authorized Official - Last Name:SEIPP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:570-863-2812
Mailing Address - Street 1:1000 S 2ND ST
Mailing Address - Street 2:PO BOX 471
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-3318
Mailing Address - Country:US
Mailing Address - Phone:570-286-3623
Mailing Address - Fax:570-988-3774
Practice Address - Street 1:1000 S 2ND ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-3318
Practice Address - Country:US
Practice Address - Phone:570-286-3623
Practice Address - Fax:570-988-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy