Organization · Type 2 NPI

Symbria RX Great Lakes South LLC

Long Term Care Pharmacy · Sharpsburg, PA

NPI number 1902569676 Active

Practice location

307 23rd Street Ext, Ste 164
Sharpsburg, PA 15215-2821

Call (724) 545-1600 Map

Mailing address

7125 Janes Ave Ste 300
Woodridge, IL 60517-2304

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

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.

Another provider at this address

Lisa Helen Hissam, BSN RNRegistered Nurse Sharpsburg, PA NPI 1730964883

NPI record

NPI: 1902569676
Entity type: Organization (Type 2)
Issued: Oct 19, 2021
Last updated: Nov 19, 2025
Status: Active

Other names

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Symbria RX Great Lakes South 1 · doing business as
Symbria RX Great Lakes South 1 · doing business as

Authorized official

Derek Brown
Vice President of Pharmacy
(630) 981-8150

Verify this record

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 1902569676

Symbria RX Great Lakes South LLC's National Provider Identifier is 1902569676, issued on Oct 19, 2021. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Sharpsburg, PA. The record was last updated on Nov 19, 2025.