Provider Demographics
NPI:1740429331
Name:ALBRIGHT PHARMACY SERVICES
Entity type:Organization
Organization Name:ALBRIGHT PHARMACY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:570-522-3889
Mailing Address - Street 1:110 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9800
Mailing Address - Country:US
Mailing Address - Phone:570-522-3880
Mailing Address - Fax:570-524-9068
Practice Address - Street 1:110 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9800
Practice Address - Country:US
Practice Address - Phone:570-522-3880
Practice Address - Fax:570-524-9068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALBRIGHT CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-05
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415550L3336I0012X
3336L0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000068850007Medicaid