Organization · Type 2 NPI

Guardian Healthcare Pharmacy, LLC

Long Term Care Pharmacy · Brockway, PA

NPI number 1316952948 Active

Practice location

123 Brubaker Rd
Brockway, PA 15824-2505

Fax (877) 371-5677

Specialties and licenses

Taxonomy	Code	License
Institutional Pharmacy	3336I0012X	None listed
Long Term Care Pharmacy Primary	3336L0003X	PP481523 (PA)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

2 other providers at this address

NPI record

NPI: 1316952948
Entity type: Organization (Type 2)
Issued: Jul 30, 2006
Last updated: Nov 14, 2019
Status: Active

Other names

<unavail>
Guardian Healthcare Pharmacy, LLC · doing business as
Guardian Long Term Care Pharmacy, Inc · former legal business name
Guardian Healthcare Pharmacy · other name

Authorized official

Matthew J Varacallo, PHARM D
Pharmacy Manager
(888) 503-7474

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316952948

Guardian Healthcare Pharmacy, LLC's National Provider Identifier is 1316952948, issued on Jul 30, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Brockway, PA. The record was last updated on Nov 14, 2019.