Provider Demographics
NPI:1982685681
Name:GDD PHARMACY SERVICES INC.
Entity Type:Organization
Organization Name:GDD PHARMACY SERVICES INC.
Other - Org Name:CUMBERLAND APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SILBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-732-2112
Mailing Address - Street 1:3300 MARKET ST.
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4470
Mailing Address - Country:US
Mailing Address - Phone:717-761-4200
Mailing Address - Fax:717-731-0419
Practice Address - Street 1:3300 MARKET ST.
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4470
Practice Address - Country:US
Practice Address - Phone:717-761-4200
Practice Address - Fax:717-731-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
PAPP412785L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPA0000926006Medicaid
2083668OtherPK
PA0000926006Medicaid