Terriann McAllister

Individual provider Active NPI Pharmacy · Mount Pocono, PA

NPI 1356941736 · NPPES record last updated Oct 27, 2020

Key facts

NPI
1356941736
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy 333600000X
License
RP04831L (PA)
Practice address
3271 Route 940
Mount Pocono, PA 18344-1150
Phone
(570) 895-4781
Fax
(570) 895-4787
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP04381LPAMDPharmacy
RP04831LPAMDPharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP04381L PA
Pharmacy 333600000X RP04831L PA Yes

Addresses

Primary practice location

3271 Route 940
Mount Pocono, PA 18344-1150

Mailing address

770 Willard Ave
Jefferson TWP, PA 18436-3433
Phone (570) 840-7773

Other names

  • Terriann Walsh Former name

Other providers in Mount Pocono, PA

All providers in Mount Pocono, PA · Pharmacy in Pennsylvania

Sources for this page

Verify at the official NPI Registry.