John J Grezula, RPH

Individual provider Active NPI Geriatric Pharmacist · Sciota, PA

NPI 1003132598 · NPPES record last updated Apr 9, 2010

Key facts

NPI
1003132598
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Pharmacist 1835G0303X
License
RP034703L (PA)
Practice address
Route 209 and Bossardsville Rd.
Sciota, PA 18354
Phone
(570) 992-6300
NPI assigned
Apr 9, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP034703LPAMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP034703L PA
Geriatric Pharmacist 1835G0303X RP034703L PA Yes
Pharmacotherapy Pharmacist 1835P1200X RP034703L PA

Addresses

Primary practice location

Route 209 and Bossardsville Rd.
Sciota, PA 18354

Mailing address

Rte 209 Bossardsville Rd
Bossardsville Rd
Sciota, PA 18354
Phone (570) 992-6300

Other providers in Sciota, PA

All providers in Sciota, PA · Geriatric Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.